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Expert Consensus on Metrics to Assess the Impact of Patient-Level Antimicrobial Stewardship Interventions in Acute-Care Settings.

Publication ,  Journal Article
Moehring, RW; Anderson, DJ; Cochran, RL; Hicks, LA; Srinivasan, A; Dodds Ashley, ES ...
Published in: Clin Infect Dis
February 1, 2017

Antimicrobial stewardship programs (ASPs) positively impact patient care, but metrics to assess ASP impact are poorly defined. We used a modified Delphi approach to select relevant metrics for assessing patient-level interventions in acute-care settings for the purposes of internal program decision making. An expert panel rated 90 candidate metrics on a 9-point Likert scale for association with 4 criteria: improved antimicrobial prescribing, improved patient care, utility in targeting stewardship efforts, and feasibility in hospitals with electronic health records. Experts further refined, added, or removed metrics during structured teleconferences and re-rated the retained metrics. Six metrics were rated >6 in all criteria: 2 measures of Clostridium difficile incidence, incidence of drug-resistant pathogens, days of therapy over admissions, days of therapy over patient days, and redundant therapy events. Fourteen metrics rated >6 in all criteria except feasibility were identified as targets for future development.

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Published In

Clin Infect Dis

DOI

EISSN

1537-6591

Publication Date

February 1, 2017

Volume

64

Issue

3

Start / End Page

377 / 383

Location

United States

Related Subject Headings

  • United States
  • Treatment Outcome
  • Program Evaluation
  • Patient Safety
  • Patient Care
  • Patient Admission
  • Microbiology
  • Incidence
  • Humans
  • Enterocolitis, Pseudomembranous
 

Citation

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Moehring, R. W., Anderson, D. J., Cochran, R. L., Hicks, L. A., Srinivasan, A., Dodds Ashley, E. S., & Structured Taskforce of Experts Working at Reliable Standards for Stewardship (STEWARDS) Panel, . (2017). Expert Consensus on Metrics to Assess the Impact of Patient-Level Antimicrobial Stewardship Interventions in Acute-Care Settings. Clin Infect Dis, 64(3), 377–383. https://doi.org/10.1093/cid/ciw787
Moehring, Rebekah W., Deverick J. Anderson, Ronda L. Cochran, Lauri A. Hicks, Arjun Srinivasan, Elizabeth S. Dodds Ashley, and Elizabeth S. Structured Taskforce of Experts Working at Reliable Standards for Stewardship (STEWARDS) Panel. “Expert Consensus on Metrics to Assess the Impact of Patient-Level Antimicrobial Stewardship Interventions in Acute-Care Settings.Clin Infect Dis 64, no. 3 (February 1, 2017): 377–83. https://doi.org/10.1093/cid/ciw787.
Moehring RW, Anderson DJ, Cochran RL, Hicks LA, Srinivasan A, Dodds Ashley ES, et al. Expert Consensus on Metrics to Assess the Impact of Patient-Level Antimicrobial Stewardship Interventions in Acute-Care Settings. Clin Infect Dis. 2017 Feb 1;64(3):377–83.
Moehring, Rebekah W., et al. “Expert Consensus on Metrics to Assess the Impact of Patient-Level Antimicrobial Stewardship Interventions in Acute-Care Settings.Clin Infect Dis, vol. 64, no. 3, Feb. 2017, pp. 377–83. Pubmed, doi:10.1093/cid/ciw787.
Moehring RW, Anderson DJ, Cochran RL, Hicks LA, Srinivasan A, Dodds Ashley ES, Structured Taskforce of Experts Working at Reliable Standards for Stewardship (STEWARDS) Panel. Expert Consensus on Metrics to Assess the Impact of Patient-Level Antimicrobial Stewardship Interventions in Acute-Care Settings. Clin Infect Dis. 2017 Feb 1;64(3):377–383.
Journal cover image

Published In

Clin Infect Dis

DOI

EISSN

1537-6591

Publication Date

February 1, 2017

Volume

64

Issue

3

Start / End Page

377 / 383

Location

United States

Related Subject Headings

  • United States
  • Treatment Outcome
  • Program Evaluation
  • Patient Safety
  • Patient Care
  • Patient Admission
  • Microbiology
  • Incidence
  • Humans
  • Enterocolitis, Pseudomembranous