Barriers to Implementing Registered Nurse–Driven Clinical Decision Support for Antibiotic Stewardship: Retrospective Case Study

Elizabeth R Stevens   ¹ , MPH, PhD ;   Lynn Xu   ¹ , MPH ;   JaeEun Kwon   ¹ , MPP ;   Sumaiya Tasneem   ¹ , MPH ;   Natalie Henning   ¹ , MPH ;   Dawn Feldthouse   ¹ , RN-BC, MSN ;   Eun Ji Kim   ² , MSc, MS, MD ;   Rachel Hess   ^{3, 4} , MS, MD ;   Katherine L Dauber-Decker   ² , PhD ;   Paul D Smith   ⁵ , MD ;   Wendy Halm   ^{6, 7} , DNP ;   Pranisha Gautam-Goyal   ² , MD ;   David A Feldstein   ⁶ , MD ;   Devin M Mann   ^{1, 8} , MS, MD

¹ Department of Population Health, New York University Grossman School of Medicine, New York, NY, United States

² Northwell, New Hyde Park, NY, United States

³ Department of Population Health Sciences, University of Utah, Salt Lake City, UT, United States

⁴ Department of Internal Medicine, University of Utah, Salt Lake City, UT, United States

⁵ Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States

⁶ Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States

⁷ University of Wisconsin-Madison School of Nursing, Madison, WI, United States

⁸ Department of Medicine, New York University Langone, New York, NY, United States