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Establishing an Antimicrobial Stewardship Collaborative Across a Large, Diverse Health Care System.

Publication ,  Journal Article
Logan, AY; Williamson, JE; Reinke, EK; Jarrett, SW; Boger, MS; Davidson, LE
Published in: Joint Commission journal on quality and patient safety
September 2019

Alarming trends in antibiotic resistance sparked a National Action Plan endorsing antimicrobial stewardship programs (ASPs) in health care facilities. Atrium Health consists of 28 acute care facilities with varying levels of ASP maturity. The organization sought to establish an ASP collaborative across a diverse network by uniting local resources with a central advisory team.In fall 2015 each facility chose a pharmacist, a physician, and an administrative ASP champion. Broad-spectrum antibiotic use was tracked monthly using days of therapy (DOT) per 1,000 patient-days as a standard metric. A gap analysis survey of Centers for Disease Control and Prevention (CDC) core elements for ASPs was conducted to stratify facilities into one of three tiers, with Tier 1 having the most comprehensive ASP. Baseline antibiotic usage data were collected, and DOT reduction goals were set for each facility. Site visits were conducted in winter 2016, and a post-visit summary outlining major goals was provided. Pharmacists held monthly facility meetings to assess progress and a bimonthly virtual meeting for sharing best practices networkwide. In addition, curriculum for an ASP symposium was developed based on identified educational needs.Almost all hospitals (25/28) fully implemented the CDC core elements for ASPs within the first year of establishing the systemwide collaborative. Most facilities (78.6%) achieved their DOT reduction goal ranging from 1%-2.5% to 5%-10%.Despite many challenges, building a unified ASP collaborative across a diverse system enabled many hospitals to adopt best practices and improve antimicrobial use.

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Published In

Joint Commission journal on quality and patient safety

DOI

EISSN

1938-131X

ISSN

1553-7250

Publication Date

September 2019

Volume

45

Issue

9

Start / End Page

591 / 599

Related Subject Headings

  • Pharmacists
  • Leadership
  • Inservice Training
  • Humans
  • General & Internal Medicine
  • Drug Utilization
  • Delivery of Health Care
  • Antimicrobial Stewardship
  • Anti-Bacterial Agents
  • 4203 Health services and systems
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Logan, A. Y., Williamson, J. E., Reinke, E. K., Jarrett, S. W., Boger, M. S., & Davidson, L. E. (2019). Establishing an Antimicrobial Stewardship Collaborative Across a Large, Diverse Health Care System. Joint Commission Journal on Quality and Patient Safety, 45(9), 591–599. https://doi.org/10.1016/j.jcjq.2019.03.002
Logan, Andrea Y., Julie E. Williamson, Emily K. Reinke, Steven W. Jarrett, Michael S. Boger, and Lisa E. Davidson. “Establishing an Antimicrobial Stewardship Collaborative Across a Large, Diverse Health Care System.Joint Commission Journal on Quality and Patient Safety 45, no. 9 (September 2019): 591–99. https://doi.org/10.1016/j.jcjq.2019.03.002.
Logan AY, Williamson JE, Reinke EK, Jarrett SW, Boger MS, Davidson LE. Establishing an Antimicrobial Stewardship Collaborative Across a Large, Diverse Health Care System. Joint Commission journal on quality and patient safety. 2019 Sep;45(9):591–9.
Logan, Andrea Y., et al. “Establishing an Antimicrobial Stewardship Collaborative Across a Large, Diverse Health Care System.Joint Commission Journal on Quality and Patient Safety, vol. 45, no. 9, Sept. 2019, pp. 591–99. Epmc, doi:10.1016/j.jcjq.2019.03.002.
Logan AY, Williamson JE, Reinke EK, Jarrett SW, Boger MS, Davidson LE. Establishing an Antimicrobial Stewardship Collaborative Across a Large, Diverse Health Care System. Joint Commission journal on quality and patient safety. 2019 Sep;45(9):591–599.

Published In

Joint Commission journal on quality and patient safety

DOI

EISSN

1938-131X

ISSN

1553-7250

Publication Date

September 2019

Volume

45

Issue

9

Start / End Page

591 / 599

Related Subject Headings

  • Pharmacists
  • Leadership
  • Inservice Training
  • Humans
  • General & Internal Medicine
  • Drug Utilization
  • Delivery of Health Care
  • Antimicrobial Stewardship
  • Anti-Bacterial Agents
  • 4203 Health services and systems