Methods: An app with the institutional antibiogram and clinical practice guidelines was first created for Albert Einstein medical students in 2014. In 2015, the app was expanded to better suit the needs of house staff at Montefiore Medical Center. The app featured preferred empiric antimicrobial regimens based on the local antibiogram, antibiotic formulary, vancomycin dosing, surgical prophylaxis regimens, pathogen specific isolation precautions, and the antibiograms for individual Montefiore campuses. Five months after the app was launched, app statistics from google analytics were reviewed and the medicine house staff was surveyed electronically.
Results: From November 2015 until early April 2016 the app was downloaded onto over 200 devices and accessed over 1200 times for an average of 2 minutes per session. A survey of Montefiore medicine house staff (n=30), showed that 37% of house staff preferred to access infectious diseases information on an app. 57% of respondents either agreed or strongly agreed that they modified the antibiotics prescribed for their patients based on the app. 50% strongly agreed or agreed that they used the antibiogram more often since it was available on their phone. The most commonly cited barriers to using the app were a cumbersome format, forgetting to use the app, and that too many clicks are required to get to needed information.
Conclusion: An institution specific infectious diseases clinical app is a novel and effective way to improve house staff prescribing choices. The app was well accepted at our institution, with the biggest barriers related to functionality of the app software. In the future, we plan to improve the app by upgrading the interface and including outpatient antibiotic regimens.
P. Nori, None
I. Munjal, None
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