Creation of a Generalizable ED-based Antimicrobial Stewardship EHR DS (SPEED) (SPEED)

Our goal is to develop prototype electronic health record-based clinical decision support that will facilitate the appropriate use of antibiotics for children with community-acquired pneumonia or urinary tract infections. The decision support will be scalable across multiple sites. Decision support models will be developed at 3 PECARN sites. Antimicrobial resistance results in patient morbidity and mortality, and increased healthcare costs and is a result of indiscriminate antibiotic prescribing by clinicians. Antimicrobial stewardship programs facilitate appropriate antibiotic prescribing. There is a gap in understanding the optimal strategies to implement ED-based antimicrobial stewardship programs.