scholarly journals Implementation of an Antimicrobial Stewardship Program in Five Colombian Hospitals in 2018

2020 ◽  
Vol 41 (S1) ◽  
pp. s273-s273
Author(s):  
Christian Pallares ◽  
María Virginia Villegas Botero
Keyword(s):  
Infection Control ◽  
Antimicrobial Stewardship ◽  
Control Strategies ◽  
Education And Training ◽  
Public Hospitals ◽  
International Standards ◽  
International Consensus ◽  
Stewardship Program ◽  
And Training

Background: More than 50% of antibiotics used in hospitals are unnecessary or inappropriate. The antimicrobial stewardship programs (ASPs) are coordinated efforts to promote the rational and effective use of antibiotics including appropriate selection, dosage, administration, and duration of therapy. When an ASP integrates infection control strategies, it is possible to decrease the transmission of multidrug-resistant pathogens. Methods: In 2018, 5 Colombian hospitals were selected to implement an ASP. Private and public hospitals from different cities were included in the study, ranging from 200 to 700 beds. Our team, consisting of an infectious disease and hospital epidemiologist, visited each hospital to establish the baseline of their ASP program, to define the ASP outcomes according to each hospital’s needs, and to set goals for ASP outcomes in the following 6–12 months. Follow-up was scheduled every 2 months through Skype video conference. The baseline diagnosis or preintervention evaluation was done using a tool adapted from previous reports (ie, international consensus and The Joint Commission international standards). Documentation related to ASPs, such as microbiological profiles, antimicrobial guidelines (AMG) and indicators for the adherence to them as well as antimicrobial resistance (AMR) prevention through protocols, were written and/or updated. Prevention and infection control requirements and protocols were also updated, and cleaning and antiseptic policies were created. Training in rational use of antibiotic, infection control and prevention, and cleaning and disinfection were carried out with the healthcare workers in each institution. Results: Before the intervention, the development of the ASP according to the tool was 27% (range, 5%–47%). The lowest institutional scores were the item related to ASP feedback and reports (11% on average), followed by education and training (14%), defined ASP responsibilities (23%), ASP function according to priorities (26%), and AMR surveillance (27%). After the intervention, the ASP development increased to 57% (range, 39%–81%) in the hospitals. The highest scores achieved were for education and training (90%), surveillance (75%), and the activities of the infection control committee (70%). The items that made the greatest contribution to ASP development were the individual antibiogram, including the bacteria resistance profile, and the development of the AMG based on the local epidemiology in each hospital. Conclusions: The implementation of an ASP should include training and education as well as defining outcomes according to the hospital’s needs. Once the strategy is implemented, follow-up is key to achieving the goals.Funding: NoneDisclosures: None

scholarly journals The State of Education and Training for Antimicrobial Stewardship Programs in Indian Hospitals―A Qualitative and Quantitative Assessment

Antibiotics ◽  
2019 ◽  
Vol 8 (1) ◽  
pp. 11 ◽  
Author(s):  
Sanjeev Singh ◽  
Esmita Charani ◽  
Chand Wattal ◽  
Anita Arora ◽  
Abi Jenkins ◽  
...  
Keyword(s):  
Antimicrobial Stewardship ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Qualitative Interviews ◽  
Education And Training ◽  
Healthcare Organizations ◽  
Telephone Interviews ◽  
And Training

Background: To understand the role of infrastructure, manpower, and education and training (E&T) in relation to Antimicrobial Stewardship (AMS) in Indian healthcare organizations. Methods: Mixed method approach using quantitative survey and qualitative interviews was applied. Through key informants, healthcare professionals from 69 hospitals (public & private) were invited to participate in online survey and follow up qualitative interviews. Thematic analysis was applied to identify the key emerging themes from the interviews. The survey data were analyzed using descriptive statistics. Results: 60 healthcare professionals from 51 hospitals responded to the survey. Eight doctors participated in semi-structured telephone interviews. 69% (27/39) of the respondents received E&T on AMS during undergraduate or postgraduate training. 88% (15/17) had not received any E&T at induction or during employment. In the qualitative interviews three key areas of concern were identified: (1) need for government level endorsement of AMS activities; (2) lack of AMS programs in hospitals; and, (3) lack of postgraduate E&T in AMS for staff. Conclusion: No structured provision of E&T for AMS currently exists in India. Stakeholder engagement is essential to the sustainable design and implementation of bespoke E&T for hospital AMS in India.

scholarly journals EVALUASI DISIPLIN KERJA PADA PUSDIK BINMAS LEMDIKLAT POLRI

2021 ◽  
Vol 1 (1) ◽  
pp. 40-47
Author(s):  
Putra Ari Wijayanto ◽  
Muhammad Suud ◽  
Suci Utami Wikaningtyas
Keyword(s):  
Police Officers ◽  
Education And Training ◽  
Qualitative Approach ◽  
Training Center ◽  
National Education ◽  
It Implementation ◽  
And Training

The objectives of this study are: 1) To identify the factors that cause indiscipline at the Pusdik Binmas Lemdiklat Polri. 2) To analyze why the discipline at the Pusdik Binmas Lemdiklat Polri is not optimal. 3) To identify how the work discipline is at the Pusdik Binmas Lemdiklat Polri. 4) To formulate efforts to improve work discipline at the Pusdik Binmas Lemdiklat Polri. This research is more appropriate to use a qualitative approach. The results showed that the work discipline of police officers would affect their performance in serving the community. Pusdik Binmas Lemdiklat Polri has carried out its duties as well as possible, this of course cannot be separated from the participation and support of the leadership who always provides guidance, direction and instructions in carrying out their duties, so that every member of the Head of Education and Training Center for the National Education and Training Center of the Police tries to provide the best service to the community . As the specific conclusions of this study, as follows: The desired work discipline in improving services to the community; The form of work discipline, and its application. Desired discipline and ways of socializing it; Implementation of Work Discipline; Evaluation of Work Discipline; and follow-up work discipline.

International Guidelines and Standards for Education and Training to Reduce the Consequences of Events that May Threaten the Health Status of a Community – A Report of an Open International WADEM Meeting, Brussels, Belgium, 29-31 October 2004

2007 ◽  
Vol 22 (2) ◽  
pp. 120-130 ◽  
Author(s):  
Frank Archer ◽  
Geert Seynaeve
Keyword(s):  
Working Group ◽  
Education And Training ◽  
Educational Programs ◽  
Disaster Medicine ◽  
International Standards ◽  
International Meeting ◽  
Health Community ◽  
The World ◽  
Standards And Guidelines ◽  
And Training

AbstractThe continued professionalization of the humanitarian workforce requires sound underpinning by appropriate educational programs.The international disaster medicine and emergency health community requested the World Association for Disaster and Emergency Medicine (WADEM) develop international standards and guidelines for the education and training for disaster medicine. The Working Group of the WADEM Education Committee prepared and circulated an Issues Paper to structure input on this significant international task. Subsequently, the Working Group facilitated an Open International Meeting convened in Brussels, Belgium, 2004. The “Issues Paper” also was used as a framework to structure this International Meeting, which utilized case studies selected to represent the scope of disaster medicine, and prepared a meeting consensus on a framework for disaster health and for related educational programs.The two-day Brussels meeting attracted 51 participants from 19 countries, representing 21 disciplines.Participants reinforced the need to address the development of international standards and guidelines on education and training in this emerging discipline.Participants supported the view that the term “Disaster Health” suggested a multidisciplinary approach that is a more inclusive contemporary and appropriate term to describe this field, although there were dissenting views.The meeting formulated a consensus view in support of a framework for “Disaster Health”, which included: (1) primary disciplines; (2) support disciplines; (3) community response, resilience, and communication; and (4) socio-political context. The participants considered that this model lends itself to facilitating the development of educational programs in this field and believed that standards and guidelines initially should be developed in the “Core of Disaster Health” for undergraduates in relevant professions, for practicing professionals wishing to expand their practice in this field, and in the “Breadth of Disaster Health” for those wishing to be recognized as “Disaster Health Specialists” as academics, professionals, or policy leaders in this field at a University multidisciplinary Masters Degree level. A community-level and higher-specialist doctoral level would follow.Although the view of the participants was that the establishment of international approval/endorsement processes for education programs may have some benefits, there was less comfort in identifying which body/agency should be charged with this responsibility. The WADEM, the United Nations Office for the Coordination of Humanitarian Affairs, and the World Health Organization were identified as potential lead agents.The outcome of this international meeting is an important step toward meeting the challenge given the WADEM and will be developed further in consultation with the international disaster and emergency health community in order to improve education and training standards and professional practice.

scholarly journals Noninvasive Ventilation: Education and Training. A Narrative Analysis and an International Consensus Document

2015 ◽  
Author(s):  
Habib Md Reazaul Karim ◽  
Karen E A Burns ◽  
Laura D Ciobanu ◽  
Mohamad El-Khatib ◽  
Antonello Nicolini ◽  
...  
Keyword(s):  
Narrative Analysis ◽  
Noninvasive Ventilation ◽  
Education And Training ◽  
International Consensus ◽  
Consensus Document ◽  
And Training

scholarly journals IMPLEMENTASI PENDIDIKAN DAN PELATIHAN DALAM MENINGKATKAN KOMPETENSI GURU (STUDI KASUS PADA UPT SMP NEGERI 2 DUAMPANUA KABUPATEN PINRANG)

2020 ◽  
Vol 4 (1) ◽  
pp. 67-77
Author(s):  
Muh Nur Rasyid ◽  
Andi Nurqalbiani
Keyword(s):  
Curriculum Development ◽  
Qualitative Data ◽  
Training Evaluation ◽  
Education And Training ◽  
Training Needs ◽  
Teacher Competence ◽  
Training Curriculum ◽  
And Training ◽  
Qualitative Data Collection

The purpose of this study is to analyze the training needs, to find out in setting training objectives, to find out the training curriculum development, to find out the preparation of education and training, to know the implementation of education and training, to find out training evaluation in improving teacher competence. This type of research is descriptive qualitative, data collection techniques used observation, interviews, and documentation. Sources of data are the Principal, Deputy Principal and teachers at UPT SMP Negeri 2 Duampanua. The results of this study indicate that the implementation of education and training in improving teacher competence in UPT SMP Negeri 2 Duampanua is carried out through 6 stages of education and training which include; (1) training needs analysis (Taining Need Assessment), (2) setting training objectives, (3) curriculum development, (4) preparation of training, (5) implementation of education and training, (6) evaluation, basically it has been done quite well it's just that there are deficiencies in terms of evaluation, the training evaluation conducted by UPT SMP Negeri 2 Duampanua is not sustainable and the implementation is only at the training venue, and is not accompanied by follow-up on how the application of the capabilities that have been obtained in the effort to utilize those capabilities is really controlled professionally.

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