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Paper

Reducing Low Value Care Through Implementation of a Clinical Decision Support Tool Addressing Urine Culture in a Paediatric Emergency Department.

New research · Emergency Medicine

Studies in health technology and informatics · 2w

StudyStudies in health technology and informatics· Jul 2026

Reducing Low Value Care Through Implementation of a Clinical Decision Support Tool Addressing Urine Culture in a Paediatric Emergency Department.

Tim Fondum, John Cheek

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Pediatric Emergency MedicineStudyClinical practiceQ3IF 0.9

Clinical decision support alert cut unnecessary pediatric ED urine culture ordering by 25%

Reducing Low Value Care Through Implementation of a Clinical Decision Support Tool Addressing Urine Culture in a Paediatric Emergency Department.

Tim Fondum, John Cheek

Studies in health technology and informatics · Jul 2026

Background

An interruptive alert as a clinical decision support tool has been implemented to reduce the ordering of unnecessary urine cultures in a tertiary paediatric emergency department.

Results

25%

urine culture ordering dropped, with slightly more true infections caught

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Conclusion

Following its introduction, there was an immediate and sustained reduction in urine culture ordering rates of 25%, with a small increase in cultures with pure growth over a twelve-month period.

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