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Use of a Clinical Decision Support Tool to Improve Guideline Adherence for the Treatment of Methicillin-Resistant Staphylococcus aureus: Skin and Soft Tissue Infections

Carman, Margaret Jean DNP, MSN, RN, CEN, ACNP; Phipps, Julie MSN, RN; Raley, Jennifer MD; Li, Suling PhD; Thornlow, Deirdre PhD, RN, CPHQ

Advanced Emergency Nursing Journal:
doi: 10.1097/TME.0b013e31822610d1
Cases of Note
Abstract

Skin and Soft Tissue Infections (SSTI's) with abscess are commonly seen in the Emergency Department (ED) setting. Given the increasing prevalence of methicillin-resistant Staphylococcus-aureus (MRSA)–related abscesses, appropriate evidence-based decisions are essential in assuring successful treatment. Provider adherence to clinical guidelines for the treatment of SSTI's with presumed MRSA remains inconsistent in terms of prescriptive practice related to antibiotic selection, culturing wounds, and patient discharge recommendations regarding the use of infection control techniques. Evidence indicates that the use of Clinical Decision Support (CDS) tools is valuable in improving provider awareness and adherence to clinical guidelines. This study was conducted to examine whether the development of a CDS tool to guide order entry for the treatment of MRSA-related SSTI's and embed it into the electronic medical record program would improve provider adherence to the North Carolina Consensus Guideline for Management of Suspected Commmunity-Acquired MRSA Skin and Soft Tissue.

Author Information

School of Nursing, Duke University, Durham, North Carolina (Drs Carman and Thornlow); WakeMed Health Systems, Raleigh, North Carolina (Ms Phipps); Wake Emergency Physicians, Raleigh, North Carolina (Dr Raley); and Emergency Nurses Association, DesPlaines, Illinois (Dr Li).

Corresponding Author: Margaret Jean Carman, DNP, MSN, RN, CEN, ACNP, School of Nursing, Duke University, Durham, NC 27708 (mcarman2010@nc.rr.com).

Disclosure: The authors report no conflicts of interest.

© 2011 Lippincott Williams & Wilkins, Inc.