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. 2020 Sep 29;15(9):e0239751. doi: 10.1371/journal.pone.0239751

Table 3. Process indicators.

Author Downloads Average monthly use Individual sessions Time used per feature/session Accessed guidelines
Initial Total Initial Follow-up App Non-app Initial Follow-up (most frequent to least frequent)
Charani (2013) 376 times in first month 990 times after 12 months 250–300 average monthly users N/A 1900 monthly average individual sessions (89.6%) 221 average monthly individual sessions on the intranet version (10.4%) N/A N/A N/A
Payne (2014) N/A N/A N/A N/A N/A N/A Time spent per day on the antimicrobial formulary (users): 0 minutes (8), 1 to 10 minutes (16), 11 to 20 minutes (5) and 21 to 30 minutes (2). Time spent per day on management protocols (users): 0 minutes (9), 1 to 10 minutes (20), 11 to 20 minutes (2) and 21 to 30 minutes (0) N/A N/A
Hoff (2017) N/A 3056 times over 14 months N/A N/A 9259 times in total (53.0%) 8214 times in total per web viewer (47.0%) N/A N/A Community-acquired pneumonia (3725), Antibiogram—Gram-negatives (3216), Antibiogram Gram-positives (2931), Antimicrobial dosing in renal insufficiency (2918), Spontaneous bacterial peritonitis (2576), Uncomplicated cystitis (2139)
Tuon (2017) N/A 1741 N/A N/A N/A N/A 50% of all sessions < 1 min. N/A N/A
Panesar (2016) N/A 2013 times over 10 months 1182 average monthly accessions in first year (range: 1005–1615) 1483 average monthly accessions in 19 months (range: 945–2140) >16 000 times in total N/A 12.5 seconds average per individual guideline in first year 10.6 seconds average per guideline 19 months UTI (lower), Pneumonia, Cellulitis, UTI (upper/pyelonephritis), Sepsis
Young (2018) N/A N/A 1257–1953 sessions/month N/A 18860 sessions on 1887 unique devices (per year) (79.8%) 4761 sessions (desktop) on 3151 desktops (per year) (20.2%) Mean session duration: 2:22 min N/A UTI 336–688 sessions/month, RTI 329–596 sessions/month, SSTI 289–615 session/month, GI 108–195 sessions/month, genital infections 52–153 sessions/month
Yoon (2019) 53 times in first month 145 times after 3 months 21 average accessions per user in first month 12 and 11 average accessions per user in second resp. third month N/A N/A CAP guideline: median of 11 seconds (IQR 7–17). UTI guideline: median of 18 seconds (IQR 12–29) N/A Respiratory (847), Skin and soft tissue (663), Gastrointestinal tract (500), Sepsis (467), Genitourinary (350), ENT (335), CNS (278)

The process parameters reported in evaluated studies. CAP: community-acquired pneumonia; CNS: central nervous system; ENT: ear, nose & throat; GI: gastrointestinal infection; IQR: inter quartile range; N/A: not available; RTI: respiratory tract infection; SSTI: skin and soft tissue infection; UTI: urinary tract infection.