{"id":"https://openalex.org/W4287447529","doi":"https://doi.org/10.1093/jamia/ocac115","title":"Clinical decision support improves blood culture collection before intravenous antibiotic administration in the emergency department","display_name":"Clinical decision support improves blood culture collection before intravenous antibiotic administration in the emergency department","publication_year":2022,"publication_date":"2022-07-25","ids":{"openalex":"https://openalex.org/W4287447529","doi":"https://doi.org/10.1093/jamia/ocac115","pmid":"https://pubmed.ncbi.nlm.nih.gov/35877074"},"language":"en","primary_location":{"id":"doi:10.1093/jamia/ocac115","is_oa":false,"landing_page_url":"https://doi.org/10.1093/jamia/ocac115","pdf_url":null,"source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9471721","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5063026397","display_name":"Sayon Dutta","orcid":"https://orcid.org/0000-0002-0381-6860"},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I48633490","display_name":"Mass General Brigham","ror":"https://ror.org/04py2rh25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Sayon Dutta","raw_affiliation_strings":["Department of Emergency Medicine, Massachusetts General Hospital , Boston, Massachusetts, USA","Harvard Medical School , Boston, Massachusetts, USA","Mass General Brigham Digital Health , Boston, Massachusetts, USA"],"raw_orcid":"https://orcid.org/0000-0002-0381-6860","affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Massachusetts General Hospital , Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I4210087915"]},{"raw_affiliation_string":"Harvard Medical School , Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Mass General Brigham Digital Health , Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I48633490"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020133926","display_name":"Dustin McEvoy","orcid":"https://orcid.org/0000-0002-5860-1541"},"institutions":[{"id":"https://openalex.org/I48633490","display_name":"Mass General Brigham","ror":"https://ror.org/04py2rh25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Dustin S McEvoy","raw_affiliation_strings":["Mass General Brigham Digital Health , Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mass General Brigham Digital Health , Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I48633490"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035484412","display_name":"David Rubins","orcid":"https://orcid.org/0000-0003-1636-5779"},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I48633490","display_name":"Mass General Brigham","ror":"https://ror.org/04py2rh25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David M Rubins","raw_affiliation_strings":["Department of Medicine, Brigham and Women\u2019s Hospital , Boston, Massachusetts, USA","Harvard Medical School , Boston, Massachusetts, USA","Mass General Brigham Digital Health , Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Brigham and Women\u2019s Hospital , Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Harvard Medical School , Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Mass General Brigham Digital Health , Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I48633490"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010332288","display_name":"Anand S. Dighe","orcid":"https://orcid.org/0000-0003-4130-0758"},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I48633490","display_name":"Mass General Brigham","ror":"https://ror.org/04py2rh25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anand S Dighe","raw_affiliation_strings":["Department of Pathology, Massachusetts General Hospital , Boston, Massachusetts, USA","Harvard Medical School , Boston, Massachusetts, USA","Mass General Brigham Digital Health , Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pathology, Massachusetts General Hospital , Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I4210087915"]},{"raw_affiliation_string":"Harvard Medical School , Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Mass General Brigham Digital Health , Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I48633490"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064289221","display_name":"Michael R. Filbin","orcid":"https://orcid.org/0000-0002-2588-7504"},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael R Filbin","raw_affiliation_strings":["Department of Emergency Medicine, Massachusetts General Hospital , Boston, Massachusetts, USA","Harvard Medical School , Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Massachusetts General Hospital , Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I4210087915"]},{"raw_affiliation_string":"Harvard Medical School , Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5052932008","display_name":"Chanu Rhee","orcid":"https://orcid.org/0000-0002-9537-4245"},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210111543","display_name":"Harvard Pilgrim Health Care","ror":"https://ror.org/01zxdeg39","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210111543"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Chanu Rhee","raw_affiliation_strings":["Department of Population Medicine, Harvard Medical School/Harvard Pilgrim Health Care Institute , Boston, Massachusetts, USA","Division of Infectious Diseases, Department of Medicine, Brigham and Women\u2019s Hospital , Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Population Medicine, Harvard Medical School/Harvard Pilgrim Health Care Institute , Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I4210111543","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Division of Infectious Diseases, Department of Medicine, Brigham and Women\u2019s Hospital , Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I1283280774"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5063026397"],"corresponding_institution_ids":["https://openalex.org/I136199984","https://openalex.org/I4210087915","https://openalex.org/I48633490"],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":null,"fwci":1.0815,"has_fulltext":false,"cited_by_count":12,"citation_normalized_percentile":{"value":0.75305895,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":100},"biblio":{"volume":"29","issue":"10","first_page":"1705","last_page":"1714"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12167","display_name":"Bacterial Identification and Susceptibility Testing","score":0.8734999895095825,"subfield":{"id":"https://openalex.org/subfields/1308","display_name":"Clinical Biochemistry"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T12167","display_name":"Bacterial Identification and Susceptibility Testing","score":0.8734999895095825,"subfield":{"id":"https://openalex.org/subfields/1308","display_name":"Clinical Biochemistry"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.08229999989271164,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.01899999938905239,"subfield":{"id":"https://openalex.org/subfields/2402","display_name":"Applied Microbiology and Biotechnology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/blood-culture","display_name":"Blood culture","score":0.8303230404853821},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.8215277791023254},{"id":"https://openalex.org/keywords/emergency-department","display_name":"Emergency department","score":0.7886829972267151},{"id":"https://openalex.org/keywords/sepsis","display_name":"Sepsis","score":0.775086522102356},{"id":"https://openalex.org/keywords/antibiotics","display_name":"Antibiotics","score":0.7172667980194092},{"id":"https://openalex.org/keywords/bacteremia","display_name":"Bacteremia","score":0.6619840860366821},{"id":"https://openalex.org/keywords/emergency-medicine","display_name":"Emergency medicine","score":0.5324395895004272},{"id":"https://openalex.org/keywords/antimicrobial-stewardship","display_name":"Antimicrobial stewardship","score":0.4569667875766754},{"id":"https://openalex.org/keywords/intensive-care-medicine","display_name":"Intensive care medicine","score":0.39095646142959595},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.3749111592769623},{"id":"https://openalex.org/keywords/antibiotic-resistance","display_name":"Antibiotic resistance","score":0.09594300389289856}],"concepts":[{"id":"https://openalex.org/C2779473907","wikidata":"https://www.wikidata.org/wiki/Q886695","display_name":"Blood culture","level":3,"score":0.8303230404853821},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8215277791023254},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.7886829972267151},{"id":"https://openalex.org/C2778384902","wikidata":"https://www.wikidata.org/wiki/Q183134","display_name":"Sepsis","level":2,"score":0.775086522102356},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.7172667980194092},{"id":"https://openalex.org/C2779443120","wikidata":"https://www.wikidata.org/wiki/Q650912","display_name":"Bacteremia","level":3,"score":0.6619840860366821},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.5324395895004272},{"id":"https://openalex.org/C2776040555","wikidata":"https://www.wikidata.org/wiki/Q19903321","display_name":"Antimicrobial stewardship","level":4,"score":0.4569667875766754},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.39095646142959595},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3749111592769623},{"id":"https://openalex.org/C94665300","wikidata":"https://www.wikidata.org/wiki/Q63391344","display_name":"Antibiotic resistance","level":3,"score":0.09594300389289856},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C89423630","wikidata":"https://www.wikidata.org/wiki/Q7193","display_name":"Microbiology","level":1,"score":0.0},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000071997","descriptor_name":"Blood Culture","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000071997","descriptor_name":"Blood Culture","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000071997","descriptor_name":"Blood Culture","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D001499","descriptor_name":"Bayes Theorem","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001499","descriptor_name":"Bayes Theorem","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001499","descriptor_name":"Bayes Theorem","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018805","descriptor_name":"Sepsis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D018805","descriptor_name":"Sepsis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D018805","descriptor_name":"Sepsis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D018805","descriptor_name":"Sepsis","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D018805","descriptor_name":"Sepsis","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D018805","descriptor_name":"Sepsis","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1093/jamia/ocac115","is_oa":false,"landing_page_url":"https://doi.org/10.1093/jamia/ocac115","pdf_url":null,"source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmid:35877074","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/35877074","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association : JAMIA","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:9471721","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9471721","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:9471721","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9471721","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/16","display_name":"Peace, Justice and strong institutions","score":0.41999998688697815}],"awards":[{"id":"https://openalex.org/G8341043380","display_name":null,"funder_award_id":"R01HS027170","funder_id":"https://openalex.org/F4320332177","funder_display_name":"Agency for Healthcare Research and Quality"}],"funders":[{"id":"https://openalex.org/F4320332177","display_name":"Agency for Healthcare Research and Quality","ror":"https://ror.org/03jmfdf59"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":39,"referenced_works":["https://openalex.org/W1826703849","https://openalex.org/W1951724000","https://openalex.org/W1952748834","https://openalex.org/W2044859414","https://openalex.org/W2058874144","https://openalex.org/W2059371137","https://openalex.org/W2078639378","https://openalex.org/W2092802285","https://openalex.org/W2102290891","https://openalex.org/W2104202214","https://openalex.org/W2110922423","https://openalex.org/W2111175405","https://openalex.org/W2149186506","https://openalex.org/W2154238991","https://openalex.org/W2177466483","https://openalex.org/W2262671496","https://openalex.org/W2406043136","https://openalex.org/W2599245417","https://openalex.org/W2755626276","https://openalex.org/W2792094063","https://openalex.org/W2794452209","https://openalex.org/W2800445925","https://openalex.org/W2805372352","https://openalex.org/W2896478226","https://openalex.org/W2915562914","https://openalex.org/W2921640653","https://openalex.org/W2974219676","https://openalex.org/W2977322360","https://openalex.org/W2990427812","https://openalex.org/W2998524378","https://openalex.org/W2999376772","https://openalex.org/W3005797804","https://openalex.org/W3024327999","https://openalex.org/W3045454797","https://openalex.org/W3168924500","https://openalex.org/W3174786846","https://openalex.org/W3203103016","https://openalex.org/W4254687493","https://openalex.org/W6749092674"],"related_works":["https://openalex.org/W2153194536","https://openalex.org/W2402349547","https://openalex.org/W1997210358","https://openalex.org/W2356328898","https://openalex.org/W2557598584","https://openalex.org/W2126699307","https://openalex.org/W2118352207","https://openalex.org/W2168160331","https://openalex.org/W4390144481","https://openalex.org/W2015759054"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Surviving":[1],"Sepsis":[2,174],"guidelines":[3],"recommend":[4],"blood":[5,36,60,93,130,156,208,227],"cultures":[6,37,94,131],"before":[7,73,211],"administration":[8],"of":[9,22,108,149,154],"intravenous":[10],"(IV)":[11],"antibiotics":[12,41,66,213],"for":[13,67,112,233,236],"patients":[14,70,120,164,232],"with":[15,165],"sepsis":[16,167],"or":[17,169],"moderate":[18],"to":[19,34,44,64,97,133,137,186,241],"high":[20,239],"risk":[21],"bacteremia.":[23],"Clinical":[24],"decision":[25],"support":[26],"(CDS)":[27],"that":[28],"reminds":[29],"emergency":[30],"department":[31],"(ED)":[32],"providers":[33],"obtain":[35],"when":[38],"ordering":[39],"IV":[40,65,134,212,243],"may":[42],"lead":[43],"improvements":[45],"in":[46,80,163,192,201,214,230],"this":[47],"process":[48],"measure.":[49],"METHODS:":[50],"This":[51],"was":[52,177,238],"a":[53,76,98,166],"multicenter":[54],"causal":[55],"impact":[56,107,143],"analysis":[57,116,144],"comparing":[58],"timely":[59,92,155,226],"culture":[61,157,189,209,228],"collections":[62,158,229],"prior":[63,132],"adult":[68],"ED":[69,231],"1":[71],"year":[72],"and":[74,196],"after":[75,139],"CDS":[77,206,223],"intervention":[78,110,194],"implementation":[79],"the":[81,106,109,125,140,161,193,215],"electronic":[82],"health":[83],"record.":[84],"A":[85,221],"Bayesian":[86],"structured":[87],"time-series":[88],"model":[89],"compared":[90,96,136],"daily":[91],"collected":[95],"forecasted":[99],"synthetic":[100],"control.":[101],"Mixed":[102],"effects":[103],"models":[104],"evaluated":[105],"controlling":[111],"confounders.":[113],"RESULTS:":[114],"The":[115],"included":[117],"54":[118],"538":[119],"over":[121],"2":[122],"years.":[123],"In":[124],"baseline":[126],"phase,":[127,195],"46.1%":[128],"had":[129],"antibiotics,":[135],"58.8%":[138],"intervention.":[141],"Causal":[142],"determined":[145],"an":[146],"absolute":[147,180],"increase":[148],"13.1%":[150],"(95%":[151,183],"CI":[152,184],"10.4-15.7%)":[153],"overall,":[159],"although":[160],"difference":[162,181],"diagnosis":[168],"who":[170],"met":[171],"CDC":[172],"Adult":[173],"Event":[175],"criteria":[176],"not":[178],"significant,":[179],"8.0%":[182],"-0.2":[185],"15.8).":[187],"Blood":[188],"positivity":[190],"increased":[191,225],"contamination":[197],"rates":[198],"were":[199],"similar":[200],"both":[202],"study":[203],"phases.":[204],"DISCUSSION:":[205],"improved":[207],"collection":[210],"ED,":[216],"without":[217],"increasing":[218],"overutilization.":[219],"CONCLUSION:":[220],"simple":[222],"alert":[224],"whom":[234],"concern":[235],"infection":[237],"enough":[240],"warrant":[242],"antibiotics.":[244]},"counts_by_year":[{"year":2026,"cited_by_count":4},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":3}],"updated_date":"2026-04-29T09:16:38.111599","created_date":"2025-10-10T00:00:00"}