Prospective Audit and Feedback of Antimicrobial Stewardship in Critical Care: Program Implementation, Experience, and Challenges
نویسندگان
چکیده
منابع مشابه
Prospective audit and feedback of antimicrobial stewardship in critical care: program implementation, experience, and challenges.
Antimicrobial stewardship has been defined as the limitation of inappropriate use of antimicrobials while optimizing the selection, dosing, route, and duration of antimicrobial therapy to maximize clinical cure or prevent infection; limiting unintended consequences, such as emergence of resistance, occurrence of adverse drug events, and selection of pathogenic organisms (such as Clostridium dif...
متن کاملWhen Antimicrobial Stewardship Isn′t Watching: The Educational Impact of Critical Care Prospective Audit and Feedback
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 antimi...
متن کاملImpact of a Prospective-Audit-With-Feedback Antimicrobial Stewardship Program at a Children's Hospital.
BACKGROUND The emergence of antibiotic-resistant organisms and the lack of development of new antimicrobials have made it imperative that additional strategies be developed to maintain the effectiveness of these existing antibiotics. The objective of this study was to describe the impact of a prospective-audit-with-feedback antimicrobial stewardship program (ASP) on antibiotic use in a children...
متن کامل212Skills Learned during Critical Care Prospective Audit and Feedback are Utilized outside of the Stewardship Environment
Background. Antimicrobial stewardship programs (ASP) are crucial to optimize antimicrobial utilization in critical care. Prospective audit and feedback is the major intervention used by stewardship programs, yet the impact on clinicians’ antimicrobial prescribing behaviours outside of the stewardship environment is unknown. We sought to understand if skills learned during prospective audit and ...
متن کاملImpact of a Prospective Audit and Feedback Antimicrobial Stewardship Program at a Veterans Affairs Medical Center: A Six-Point Assessment
BACKGROUND Prospective audit and feedback is a core antimicrobial stewardship program (ASP) strategy; however its impact is difficult to measure. METHODS Our quasi-experimental study measured the effect of an ASP on clinical outcomes, antimicrobial use, resistance, costs, patient safety (adverse drug events [ADE] and Clostridium difficile infection [CDI]), and process metrics pre- (9/10-10/11...
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ژورنال
عنوان ژورنال: The Canadian Journal of Hospital Pharmacy
سال: 2012
ISSN: 1920-2903,0008-4123
DOI: 10.4212/cjhp.v65i1.1101