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One of the most effective and immediate solutions to the growing antimicrobial resistance problem is to address the role of inappropriate prescribing. Ontologies can support judicious prescribing, but use of an ontology as part of a CDSS to support antibiotic therapeutic planning has not been fully explored. The proposed research project will create and evaluate an ontology for supporting a CDSS module that generates an antibiotic-mismatch alert to guide appropriate antibiotic prescribing.

The purpose of this evaluation was to assess perceptions of usability of a new semi-structured electronic clinical note. Two focus groups were held, one with attending physicians and one with residents. Physicians described their experiences with eNote and their perceptions about the system. Transcripts of the focus groups underwent content analysis, and four major themes emerged. These were “time”, “hardware-system issues”, “eNote application issues”, and “patients’ perceptions.”