A systematic review on how primary care electronic medical record data have been used for antimicrobial stewardship
Abstract Objective: This systematic review aims to synthesize evidence from current literature to describe how Electronic Medical Record (EMR) primary care data have been used for antimicrobial stewardship activities internationally. Design: Systematic literature review. Methods: We searched C...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-01-01
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| Series: | Antimicrobial Stewardship & Healthcare Epidemiology |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2732494X24004996/type/journal_article |
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| author | Ron Cheah Caroline Chen Daniel Capurro Jo-Anne Manski-Nankervis Vlada Rozova Karin Thursky |
| author_facet | Ron Cheah Caroline Chen Daniel Capurro Jo-Anne Manski-Nankervis Vlada Rozova Karin Thursky |
| author_sort | Ron Cheah |
| collection | DOAJ |
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Abstract
Objective:
This systematic review aims to synthesize evidence from current literature to describe how Electronic Medical Record (EMR) primary care data have been used for antimicrobial stewardship activities internationally.
Design:
Systematic literature review.
Methods:
We searched Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, Embase, Scopus, and Web of Science from January 1, 2013 to September 23, 2023 to retrieve studies that included concepts of “antimicrobial stewardship,” “primary care,” and “electronic medical records.” We used narrative synthesis to classify and interpret results. Data were grouped and tabulated by similar themes and concepts, including strengths, facilitators, barriers, and limitations for antimicrobial stewardship.
Results:
A total of 265 articles were identified from the initial search, of which 34 full-text articles from 10 countries met all criteria and were included in the review. Six categories of EMR data use were identified from the studies, these were for: assessing antimicrobial prescribing quality, measuring the effectiveness of an intervention, analyzing antimicrobial prescribing trends, assessing patient and provider characteristics in prescribing, evaluating novel tools or measures, and measuring specific conditions and outcomes. Facilitators of use of EMR data were generally well-described across the studies reviewed; however, barriers were not. Barriers described were centered around EMR system design and technical challenges in data extraction. Completeness of EMR data was the most consistently described limitation.
Conclusions:
Our study highlights the range of uses of EMR data in supporting AMS in primary care internationally, and its strengths, facilitators, and barriers to use.
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| format | Article |
| id | doaj-art-703b60665ceb4b5a88315d5fb49d05ea |
| institution | Kabale University |
| issn | 2732-494X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Antimicrobial Stewardship & Healthcare Epidemiology |
| spelling | doaj-art-703b60665ceb4b5a88315d5fb49d05ea2025-01-24T06:51:53ZengCambridge University PressAntimicrobial Stewardship & Healthcare Epidemiology2732-494X2025-01-01510.1017/ash.2024.499A systematic review on how primary care electronic medical record data have been used for antimicrobial stewardshipRon Cheah0https://orcid.org/0000-0001-7018-6208Caroline Chen1https://orcid.org/0000-0002-9512-0448Daniel Capurro2https://orcid.org/0000-0002-9256-1256Jo-Anne Manski-Nankervis3https://orcid.org/0000-0003-2153-3482Vlada Rozova4https://orcid.org/0000-0003-1032-4650Karin Thursky5https://orcid.org/0000-0002-7400-232XThe National Centre for Antimicrobial Stewardship, Department of Infectious Diseases, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia RMH Guidance Group, The Royal Melbourne Hospital, Melbourne, Victoria, Australia The Peter Doherty Institute for Infection and Immunity, Melbourne, Victoria, AustraliaThe National Centre for Antimicrobial Stewardship, Department of Infectious Diseases, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia RMH Guidance Group, The Royal Melbourne Hospital, Melbourne, Victoria, Australia The Peter Doherty Institute for Infection and Immunity, Melbourne, Victoria, AustraliaSchool of Computing and Information Systems, Faculty of Engineering and Information Technology, The University of Melbourne, Melbourne, Victoria, Australia Centre for the Digital Transformation of Health, Faculty of Medicine, Dentistry, and Health Sciences, The University of Melbourne, Melbourne, Victoria, AustraliaPrimary Care and Family Medicine, Lee Kong Chian School of Medicine, Nanyang Technological University of Singapore, Singapore, Singapore Department of General Practice and Primary Care, The University of Melbourne, Parkville, Victoria, AustraliaSchool of Computing and Information Systems, Faculty of Engineering and Information Technology, The University of Melbourne, Melbourne, Victoria, Australia Centre for the Digital Transformation of Health, Faculty of Medicine, Dentistry, and Health Sciences, The University of Melbourne, Melbourne, Victoria, AustraliaThe National Centre for Antimicrobial Stewardship, Department of Infectious Diseases, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia RMH Guidance Group, The Royal Melbourne Hospital, Melbourne, Victoria, Australia The Peter Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia National Health and Medical Research Council National Centre for Infections in Cancer, Sir Peter MacCallum Department of Oncology, University of Melbourne, Parkville, Victoria, Australia Abstract Objective: This systematic review aims to synthesize evidence from current literature to describe how Electronic Medical Record (EMR) primary care data have been used for antimicrobial stewardship activities internationally. Design: Systematic literature review. Methods: We searched Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, Embase, Scopus, and Web of Science from January 1, 2013 to September 23, 2023 to retrieve studies that included concepts of “antimicrobial stewardship,” “primary care,” and “electronic medical records.” We used narrative synthesis to classify and interpret results. Data were grouped and tabulated by similar themes and concepts, including strengths, facilitators, barriers, and limitations for antimicrobial stewardship. Results: A total of 265 articles were identified from the initial search, of which 34 full-text articles from 10 countries met all criteria and were included in the review. Six categories of EMR data use were identified from the studies, these were for: assessing antimicrobial prescribing quality, measuring the effectiveness of an intervention, analyzing antimicrobial prescribing trends, assessing patient and provider characteristics in prescribing, evaluating novel tools or measures, and measuring specific conditions and outcomes. Facilitators of use of EMR data were generally well-described across the studies reviewed; however, barriers were not. Barriers described were centered around EMR system design and technical challenges in data extraction. Completeness of EMR data was the most consistently described limitation. Conclusions: Our study highlights the range of uses of EMR data in supporting AMS in primary care internationally, and its strengths, facilitators, and barriers to use. https://www.cambridge.org/core/product/identifier/S2732494X24004996/type/journal_article |
| spellingShingle | Ron Cheah Caroline Chen Daniel Capurro Jo-Anne Manski-Nankervis Vlada Rozova Karin Thursky A systematic review on how primary care electronic medical record data have been used for antimicrobial stewardship Antimicrobial Stewardship & Healthcare Epidemiology |
| title | A systematic review on how primary care electronic medical record data have been used for antimicrobial stewardship |
| title_full | A systematic review on how primary care electronic medical record data have been used for antimicrobial stewardship |
| title_fullStr | A systematic review on how primary care electronic medical record data have been used for antimicrobial stewardship |
| title_full_unstemmed | A systematic review on how primary care electronic medical record data have been used for antimicrobial stewardship |
| title_short | A systematic review on how primary care electronic medical record data have been used for antimicrobial stewardship |
| title_sort | systematic review on how primary care electronic medical record data have been used for antimicrobial stewardship |
| url | https://www.cambridge.org/core/product/identifier/S2732494X24004996/type/journal_article |
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