Improving the Efficiency of Antimicrobial Stewardship Action in Acute Care Facilities
© The Author(s) 2023. Published by Oxford University Press on behalf of Infectious Diseases Society of America..
Inpatient antimicrobial stewardship (AS) programs are quality improvement programs tasked with improving antibiotic practices by augmenting frontline providers' antibiotic prescription. Prospective audit and feedback (PAF) and preauthorization (PRA) are essential activities in the hospital that can be resource intensive for AS teams. Improving efficiency in AS activities is needed when there are limited resources or when programs are looking to expand tasks beyond PAF and PRA, such as broad education or guideline development. Guidance on the creation and maintenance of alerts for the purpose of PAF reviews, modifications of antibiotic restrictions for PRA polices, and overall initiative prioritization strategies are reviewed. In addition, daily prioritization tools, such as the tiered approach, scoring systems, and regression modeling, are available for stewards to prioritize their daily workflow. Using these tools and guidance, AS programs can be productive and impactful in the face of resource limitation or competing priorities in the hospital.
| Errataetall: |
ErratumIn: Open Forum Infect Dis. 2023 Nov 28;10(11):ofad570. - PMID 38033981 |
|---|---|
| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:10 |
|---|---|
| Enthalten in: |
Open forum infectious diseases - 10(2023), 9 vom: 21. Sept., Seite ofad412 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Heil, Emily L [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Antimicrobial stewardship |
|---|
| Anmerkungen: |
Date Revised 30.11.2023 published: Electronic-eCollection ErratumIn: Open Forum Infect Dis. 2023 Nov 28;10(11):ofad570. - PMID 38033981 Citation Status PubMed-not-MEDLINE |
|---|
| doi: |
10.1093/ofid/ofad412 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM36172277X |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM36172277X | ||
| 003 | DE-627 | ||
| 005 | 20231226085737.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1093/ofid/ofad412 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1205.xml |
| 035 | |a (DE-627)NLM36172277X | ||
| 035 | |a (NLM)37674632 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Heil, Emily L |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Improving the Efficiency of Antimicrobial Stewardship Action in Acute Care Facilities |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Revised 30.11.2023 | ||
| 500 | |a published: Electronic-eCollection | ||
| 500 | |a ErratumIn: Open Forum Infect Dis. 2023 Nov 28;10(11):ofad570. - PMID 38033981 | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a © The Author(s) 2023. Published by Oxford University Press on behalf of Infectious Diseases Society of America. | ||
| 520 | |a Inpatient antimicrobial stewardship (AS) programs are quality improvement programs tasked with improving antibiotic practices by augmenting frontline providers' antibiotic prescription. Prospective audit and feedback (PAF) and preauthorization (PRA) are essential activities in the hospital that can be resource intensive for AS teams. Improving efficiency in AS activities is needed when there are limited resources or when programs are looking to expand tasks beyond PAF and PRA, such as broad education or guideline development. Guidance on the creation and maintenance of alerts for the purpose of PAF reviews, modifications of antibiotic restrictions for PRA polices, and overall initiative prioritization strategies are reviewed. In addition, daily prioritization tools, such as the tiered approach, scoring systems, and regression modeling, are available for stewards to prioritize their daily workflow. Using these tools and guidance, AS programs can be productive and impactful in the face of resource limitation or competing priorities in the hospital | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a antimicrobial stewardship | |
| 650 | 4 | |a efficiency | |
| 650 | 4 | |a prioritization | |
| 700 | 1 | |a Justo, Julie Ann |e verfasserin |4 aut | |
| 700 | 1 | |a Bork, Jaqueline T |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Open forum infectious diseases |d 2014 |g 10(2023), 9 vom: 21. Sept., Seite ofad412 |w (DE-627)NLM243576811 |x 2328-8957 |7 nnns |
| 773 | 1 | 8 | |g volume:10 |g year:2023 |g number:9 |g day:21 |g month:09 |g pages:ofad412 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1093/ofid/ofad412 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 10 |j 2023 |e 9 |b 21 |c 09 |h ofad412 | ||