The INSPIRE-ASP UTI Trial
The INSPIRE-ASP UTI Trial
The INSPIRE-ASP UTI trial is a cluster-randomized controlled trial of HCA hospitals comparing
 routine empiric antibiotic stewardship practices with real-time precision medicine
 computerized physician order entry smart prompts providing the probability that a
 non-critically ill adult admitted with UTI is infected with a resistant pathogen.

 Note: that enrolled "subjects" represents 59 individual HCA hospitals that have been
 randomized.
Facility Inclusion Criteria:

 -  HCA hospitals admitting adults for UTI

 -  Facility use of MEDITECH as their electronic health record system

 Facility Exclusion Criteria:

 -

 Note: unit of randomization is the hospital, however the CPOE alert intervention will
 calculate risk estimates for adults age >=18 admitted to non-ICU wards and who are ordered
 to receive extended-spectrum antibiotics for UTI.