Understanding changes in the standardized antimicrobial administration ratio for total antimicrobial use after implementation of prospective audit and feedback

2018 ◽  
Vol 39 (12) ◽  
pp. 1476-1479 ◽  
Author(s):  
Meghan E. Griebel ◽  
Brett Heintz ◽  
Bruce Alexander ◽  
Jason Egge ◽  
Michihiko Goto ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Audit And Feedback ◽  
Antimicrobial Use ◽  
Single Center ◽  
Prospective Audit ◽  
Antimicrobial Prescribing ◽  
Single Center Study ◽  
Prospective Audit And Feedback ◽  
Center Study ◽  
Antimicrobial Administration

AbstractIn this single-center study, the standardized antimicrobial administration ratio (SAAR) for total antimicrobial use decreased in response to a stewardship intervention. Antimicrobial prescribing and clinical outcomes were stable or improved during the period of lower SAARs. Our findings suggest that SAAR values of ~0.8 can be safely achieved.

scholarly journals A Novel Metric to Monitor the Influence of Antimicrobial Stewardship Activities

2017 ◽  
Vol 38 (06) ◽  
pp. 721-723 ◽  
Author(s):  
Daniel J. Livorsi ◽  
Erin O’Leary ◽  
Tamra Pierce ◽  
Lindsey Reese ◽  
Katharina L. van Santen ◽  
...  
Keyword(s):  
Antimicrobial Stewardship ◽  
Audit And Feedback ◽  
Antimicrobial Use ◽  
Prospective Audit ◽  
Infectious Disease Physician ◽  
Antimicrobial Prescribing ◽  
National Healthcare Safety Network ◽  
Stewardship Program ◽  
Prospective Audit And Feedback ◽  
Antimicrobial Administration

The antimicrobial use (AU) option within the National Healthcare Safety Network summarizes antimicrobial prescribing data as a standardized antimicrobial administration ratio (SAAR). A hospital’s antimicrobial stewardship program found that greater involvement of an infectious disease physician in prospective audit and feedback procedures was associated with reductions in SAAR values across multiple antimicrobial categories. Infect Control Hosp Epidemiol 2017;38:721–723

scholarly journals When Antimicrobial Stewardship Isn′t Watching: The Educational Impact of Critical Care Prospective Audit and Feedback

2016 ◽  
Vol 3 (3) ◽  
Author(s):  
Dimitra Fleming ◽  
Karim F. Ali ◽  
John Matelski ◽  
Ryan D'Sa ◽  
Jeff Powis
Keyword(s):  
Critical Care ◽  
Antimicrobial Stewardship ◽  
Care Setting ◽  
Audit And Feedback ◽  
Antimicrobial Use ◽  
Prospective Audit ◽  
Educational Impact ◽  
Antimicrobial Prescribing ◽  
Stewardship Program ◽  
Prospective Audit And Feedback

Abstract Prospective audit and feedback (PAF) is an effective strategy to optimize antimicrobial use in the critical care setting, yet whether skills gained during PAF influence future antimicrobial prescribing is uncertain. This multisite study demonstrates that knowledge learned during PAF is translated and incorporated into the practice of critical care physicians even when not supported by an antimicrobial stewardship program.

scholarly journals Transthyretin at Admission and Over Time as a Marker for Clinical Outcomes in Critically Ill Trauma Patients: A Prospective Single-Center Study

2019 ◽  
Vol 44 (1) ◽  
pp. 115-123
Author(s):  
Tobias Haltmeier ◽  
Kenji Inaba ◽  
Joseph Durso ◽  
Moazzam Khan ◽  
Stefano Siboni ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Critically Ill ◽  
Trauma Patients ◽  
Single Center ◽  
Single Center Study ◽  
Over Time ◽  
Center Study

The effects of full weight-bearing mobilization on clinical outcomes and subsidence in cemented and uncemented hemiarthroplasty in osteoporotic patients: A retrospective single-center study

2021 ◽  
pp. 1-8
Author(s):  
Betül Başar ◽  
Hakan Başar
Keyword(s):  
Clinical Outcomes ◽  
Weight Bearing ◽  
Femoral Stem ◽  
Harris Hip Score ◽  
Full Weight Bearing ◽  
Single Center ◽  
Single Center Study ◽  
Uncemented Hemiarthroplasty ◽  
The Mean ◽  
Center Study

BACKGROUND: Early full weight-bearing mobilization is controversial in osteoporotic patients who have undergone uncemented hemiarthroplasty (CH). OBJECTIVES: The aim of the study was to compare the results of early full weight-bearing mobilization in CH and uncemented hemiarthroplasty (UCH). The effect of subsidence on the results was also evaluated. METHODS: Fifty-nine patients who underwent CH and UCH were evaluated. The mean age was 79.8 years (10 females, 15 males) for CH and 75.5 years (10 females, 24 males) for UCH. All patients started immediate full weight-bearing mobilization and weight-bearing exercises. RESULTS: There was no difference between the groups according to the Harris Hip Score. Both groups were evaluated in subgroups according to whether there is varus in the femoral stem. There was no difference between subgroups according to the Harris Hip Score. The femoral subsidence was not determined in CH group. In the UCH group, the subsidence was 1.13 ± 1.03 mm in varus femoral stem subgroup and 0.81 ± 0.85 mm in without femoral stem varus subgroup. There was no difference in subsidence between femoral stem with varus and without varus. The subsidence did not affect the Harris Hip Score. CONCLUSION: Full weight-bearing mobilization could be safely preferred in UCH, as in CH. Femoral stem varus below 5 degrees does not affect the results and subsidence.

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