{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T06:07:00Z","timestamp":1788847620502,"version":"build-2803163510"},"reference-count":18,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Infect. Control Hosp. Epidemiol."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0899823X26105339_as1\">\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Urine cultures have been ordered inappropriately among many asymptomatic hospitalized patients. This study aimed to assess how a new urine culture order note incorporated into an electronic health record system impacted the number and appropriateness of urine cultures performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X26105339_as2\">\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A quasi-experimental before-and-after intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X26105339_as3\">\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>The study was conducted at the Veterans Affairs Connecticut Healthcare System (VACTHS) in West Haven, Connecticut.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X26105339_as4\">\n                    <jats:title>Patients:<\/jats:title>\n                    <jats:p>\n                      The study included hospitalized adult patients who had urine cultures performed from January 1\n                      <jats:sup>st<\/jats:sup>\n                      , 2023, to October 31\n                      <jats:sup>st<\/jats:sup>\n                      , 2024.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X26105339_as5\">\n                    <jats:title>Intervention:<\/jats:title>\n                    <jats:p>The intervention was the addition of a mandatory urine culture order note that linked to a urine culture order in the electronic health record. The note required providers to choose an indication for ordering a urine culture. The study outcomes were the percentage of appropriateness associated with urine cultures and the number of urine cultures per 100 admissions performed pre- and post-intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X26105339_as6\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Following the initiation of the mandatory urine culture order note, the percentage of appropriateness increased from 20.6% before the intervention to 59.6% after the intervention (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01). The average monthly number of urine cultures per 100 admissions performed decreased from 18.6 before the intervention to 10 after the intervention, a significant 46.3% reduction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X26105339_as7\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The implementation of a mandatory urine culture order note linked to the urine culture order resulted in increased urine culture order appropriateness and a significant decrease in number of orders for urine cultures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/ice.2026.10533","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T05:21:47Z","timestamp":1788844907000},"page":"1-6","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Enhancing urine culture ordering practices through implementation of a urine culture order note at an academic Veterans Affairs medical center"],"prefix":"10.1017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5974-3915","authenticated-orcid":false,"given":"Tyler","family":"Luu","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03v76x132","id-type":"ROR","asserted-by":"publisher"}],"name":"Yale School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2902-4062","authenticated-orcid":false,"given":"Ann","family":"Fisher","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03v76x132","id-type":"ROR","asserted-by":"publisher"}],"name":"Yale School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4366-5283","authenticated-orcid":false,"given":"Louise-Marie","family":"Dembry","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03v76x132","id-type":"ROR","asserted-by":"publisher"}],"name":"Yale School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Chou","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03v76x132","id-type":"ROR","asserted-by":"publisher"}],"name":"Yale School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3770-7088","authenticated-orcid":false,"given":"Anthony","family":"Pellegrino","sequence":"additional","affiliation":[{"name":"US Department of Veterans Affairs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duc","family":"Nguyen","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03v76x132","id-type":"ROR","asserted-by":"publisher"}],"name":"Yale School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"S0899823X26105339_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2022.03.015"},{"key":"S0899823X26105339_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2020.10.027"},{"key":"S0899823X26105339_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2020.37"},{"key":"S0899823X26105339_ref18","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2015.334"},{"key":"S0899823X26105339_ref15","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-019-1049-7"},{"key":"S0899823X26105339_ref3","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cix474"},{"key":"S0899823X26105339_ref9","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0087899"},{"key":"S0899823X26105339_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2020.09.1471"},{"key":"S0899823X26105339_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocpiqo.2022.08.004"},{"key":"S0899823X26105339_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2016.04.009"},{"key":"S0899823X26105339_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(02)01054-9"},{"key":"S0899823X26105339_ref7","first-page":"99","article-title":"Asymptomatic bacteriuria","volume":"102","author":"Colgan","year":"2020","journal-title":"AFP"},{"key":"S0899823X26105339_ref13","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2025.2"},{"key":"S0899823X26105339_ref5","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciy1121"},{"key":"S0899823X26105339_ref2","doi-asserted-by":"publisher","DOI":"10.1086\/675829"},{"key":"S0899823X26105339_ref6","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofx207"},{"key":"S0899823X26105339_ref16","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu010"},{"key":"S0899823X26105339_ref4","doi-asserted-by":"publisher","DOI":"10.1086\/673151"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X26105339","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T05:21:49Z","timestamp":1788844909000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X26105339\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,8]]},"references-count":18,"alternative-id":["S0899823X26105339"],"URL":"https:\/\/doi.org\/10.1017\/ice.2026.10533","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,8]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}