Diagnostic stewardship for human immunodeficiency virus (HIV) testing using computerized physician order entry

Eli P Wilber; Bhavin B Adhyaru; Yun F Wang; Celeste Sellars-Williams; Paulina A Rebolledo

doi:10.1017/ash.2023.188

Diagnostic stewardship for human immunodeficiency virus (HIV) testing using computerized physician order entry

Antimicrob Steward Healthc Epidemiol. 2023 Jun 22;3(1):e105. doi: 10.1017/ash.2023.188. eCollection 2023.

Authors

Eli P Wilber¹, Bhavin B Adhyaru^{2

3}, Yun F Wang^{4

5}, Celeste Sellars-Williams⁵, Paulina A Rebolledo^{1

3

6}

Affiliations

¹ Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
² Division of General Internal Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
³ Grady Health System, Atlanta, Georgia.
⁴ Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, Georgia.
⁵ Grady Health System, Clinical Laboratory, Atlanta, Georgia.
⁶ Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia.

Abstract

Altering the appearance of a computerized physician order entry (CPOE) interface reduces misuse of an HIV diagnostic test by 87%, demonstrating that CPOE design is a key component of diagnostic stewardship. Collaboration between infectious disease providers, clinical laboratorians, and information technology (IT) professionals can result in improved quality and decreased costs.