scholarly journals Antimicrobial Stewardship Practices Reported by California Hospitals Following New Legislative Requirements: Analysis of National Healthcare Safety Network Annual Survey Data, 2014-2015

2017 ◽  
Vol 38 (12) ◽  
pp. 1503-1505 ◽  
Author(s):  
Kyle Rizzo ◽  
Melissa Kealey ◽  
Erin Epson
Keyword(s):  
Survey Data ◽  
Antimicrobial Stewardship ◽  
Requirements Analysis ◽  
Antimicrobial Stewardship Program ◽  
National Healthcare ◽  
Annual Survey ◽  
National Healthcare Safety Network ◽  
Stewardship Program ◽  
Core Elements ◽  
Implementation Progress

We analyzed California hospitals’ National Healthcare Safety Network Annual Surveys to describe antimicrobial stewardship program (ASP) implementation progress following new state ASP legislation. The proportion of hospitals with all 7 Core Elements of Hospital ASP rose from 59.3% in 2014 to 69.2% in 2015 (P<.001).Infect Control Hosp Epidemiol 2017;38:1503–1505

Validation of National Healthcare Safety Network–reported core elements of antimicrobial stewardship in Tennessee

2019 ◽  
Vol 40 (7) ◽  
pp. 817-818
Author(s):  
Christopher D. Evans ◽  
Katie A. Thure ◽  
Honour M. McDaniel ◽  
Cullen J. Adre ◽  
Vicky P. Reed ◽  
...  
Keyword(s):  
Patient Safety ◽  
Antimicrobial Stewardship ◽  
Core Element ◽  
Achievement Data ◽  
National Healthcare ◽  
Annual Survey ◽  
National Healthcare Safety Network ◽  
Core Elements

AbstractA survey of hospital antimicrobial stewardship programs was performed to validate core element achievement data from the National Healthcare Safety Network’s (NHSN) Patient Safety Component Annual Survey. In total, 89% of hospitals met all 7 core elements, compared to only 68% according to the NHSN survey.

Antimicrobial Stewardship in Pediatrics

2019 ◽  
pp. 291-322
Author(s):  
Emily A. Thorell ◽  
Jared Olson
Keyword(s):  
Antimicrobial Stewardship ◽  
Multidrug Resistant ◽  
Antimicrobial Treatment ◽  
Antimicrobial Stewardship Program ◽  
Global Public Health ◽  
Healthcare Facilities ◽  
Stewardship Program ◽  
Healthcare Program ◽  
Core Elements ◽  
Control And Prevention

The rapid emergence of multidrug-resistant bacteria has become a global public health crisis. As antibiotics are the only class of medications where use in one patient can compromise their efficacy in another patient, stewardship is critical to preserve this shared resource. The Centers for Disease Control and Prevention (CDC) have focused on improving antimicrobial use for many years. One effective strategy used to decrease the emergence of multi‐drug-resistant organisms (MDROs) is the antimicrobial stewardship program (ASP): a coordinated healthcare program that seeks to provide optimal antimicrobial treatment to patients to reduce the emergence of MDROs, improve patient outcomes, and decrease cost. This chapter reviews the importance of an antimicrobial stewardship program, reviews core elements of a pediatric hospital ASP, and provides guidance on tracking and reporting antimicrobial prescribing in pediatric healthcare facilities.

scholarly journals Use of Computer Decision Support in an Antimicrobial Stewardship Program (ASP)

2015 ◽  
Vol 06 (01) ◽  
pp. 120-135 ◽  
Author(s):  
J.A. Olson ◽  
E. Stenehjem ◽  
W.R. Buckel ◽  
E.A. Thorell ◽  
S. Howe ◽  
...  
Keyword(s):  
Decision Support ◽  
Antimicrobial Stewardship ◽  
Information Needs ◽  
Medical Center ◽  
Antimicrobial Stewardship Program ◽  
Surveillance Network ◽  
National Healthcare ◽  
Stewardship Program ◽  
New Applications ◽  
Computer Decision Support

SummaryObjective: Document information needs, gaps within the current electronic applications and reports, and workflow interruptions requiring manual information searches that decreased the ability of our antimicrobial stewardship program (ASP) at Intermountain Healthcare (IH) to prospectively audit and provide feedback to clinicians to improve antimicrobial use.Methods: A framework was used to provide access to patient information contained in the electronic medical record, the enterprise-wide data warehouse, the data-driven alert file and the enterprise-wide encounter file to generate alerts and reports via pagers, emails and through the Centers for Diseases and Control’s National Healthcare Surveillance Network.Results: Four new applications were developed and used by ASPs at Intermountain Medical Center (IMC) and Primary Children’s Hospital (PCH) based on the design and input from the pharmacists and infectious diseases physicians and the new Center for Diseases Control and Prevention/ National Healthcare Safety Network (NHSN) antibiotic utilization specifications. Data from IMC and PCH now show a general decrease in the use of drugs initially targeted by the ASP at both facilities.Conclusions: To be effective, ASPs need an enormous amount of “timely” information. Members of the ASP at IH report these new applications help them improve antibiotic use by allowing efficient, timely review and effective prioritization of patients receiving antimicrobials in order to optimize patient care.Citation: Evans RS, Olson JA, Stenehjem E, Buckel WR, Thorell EA, Howe S, Wu X, Jones PS, Lloyd JF. Use of computer decision support in an antimicrobial stewardship program (ASP). Appl Clin Inf 2015; 6: 120–135http://dx.doi.org/10.4338/ACI-2014-11-RA-0102

Sustainability Failure in the Antimicrobial Stewardship Program in a Secondary Care Hospital from Cuba: A Historical Review of 30 Years and 3 Shots

2020 ◽  
Vol 18 ◽  
Author(s):  
Humberto Guanche Garcell ◽  
Juan José Pisonero Socias ◽  
Gilberto Pardo Gómez
Keyword(s):  
Antimicrobial Stewardship ◽  
Historical Review ◽  
Original Data ◽  
Care Hospital ◽  
Antimicrobial Stewardship Program ◽  
Continuous Quality ◽  
Stewardship Program ◽  
History Of ◽  
Health Organization

Background: During the last 30 years an antimicrobial stewardship program (ASP) was implemented in a facility with periods of weakness. We aim to describe the history of the sustainability failure in the local ASP. Methods: A historical review was conducted using original data from the facility library and papers published. An analysis of factors related to the failure was conducted based on the Doyle approach. Results: The first ASP was implemented from 1989 to 1996 based on the international experiences and contributes to the improvement in the quality of prescription, reduction of 52% in cost and in the incidence of nosocomial infection. The second program restarts in 2008 and decline in 2015, while the third program was guided by the Pan-American Health Organization from 2019. This program, in progress, is more comprehensive than previous ones and introduced as a novel measure the monitoring of antibiotic prophylaxis in surgery. The factors related to the sustainability were considered including the availability of antimicrobials, the leader´s support, safety culture, and infrastructure. Conclusions: The history behind thirty years of experiences in antimicrobial stewardship programs has allowed us to identify the gaps that require proactive strategies and actions to achieve sustainability and continuous quality improvement.

Impact of a 4-year antimicrobial stewardship program implemented in a Greek tertiary hospital

2021 ◽  
Author(s):  
Konstantina Chrysou ◽  
Olympia Zarkotou ◽  
Sofia Kalofolia ◽  
Panagiota Papagiannakopoulou ◽  
Vasiliki Mamali ◽  
...  
Keyword(s):  
Antimicrobial Stewardship ◽  
Tertiary Hospital ◽  
Antimicrobial Stewardship Program ◽  
Stewardship Program
Sign in / Sign up

Export Citation Format

Share Document