Inappropriate use of antimicrobial drugs (antibiotics, etc.) is a significant cause of patient morbidity and mortality. This risk can be greatly reduced by an Antimicrobial Stewardship Program (ASP), which requires an implementation plan that includes the following actionable steps:
- Commitment from institutional leadership (administration, medicine, pharmacy, nursing, microbiology, and technology) to develop and support an Antimicrobial Stewardship Program.
- Create an multi-disciplinary Antimicrobial Stewardship Committee that includes infection prevention, infectious disease professionals from Medicine and Pharmacy, Microbiology Laboratory, Nursing, and Information Technology. This group will ensure the:
- accountability of ASP chair or co-chairs.
- development of protocols to support ASP initiatives and interventions.
- personnel training and support.
- necessary infrastructure for measuring antimicrobial use and outcomes.
- monitoring of microbial resistance and its effect on disease patterns.
- development of clear goals for the ASP, including timelines and metrics.
- delivery of regular updates to the institutional antibiogram and compliance with Clinical Laboratory Standards Institute (CLSI) guidelines.
- Implement Computerized Physician Order Entry (CPOE) with Clinical Decision Support (CDS) and computer-based surveillance software to provide real-time data at the point of care for ASP initiatives.
- Develop mechanisms to educate clinicians regarding ASP initiatives and progress. Identify and educate clinicians who exhibit outlying prescribing patterns. Monitor progress and include the results in staff educational sessions.
- All antimicrobial orders are reviewed by a hospital pharmacist.
Between the 2017 World Patient Safety, Science & Technology Summit and the 2017 Midyear Planning Meeting a workgroup comprised of experts representing administrators, clinicians, technologists and patient advocates will meet to update this APSS. If you are interested in joining this workgroup, please email us.