advertisement

Building Antimicrobial Stewardship and Engaging Prescribers

43 %
57 %
advertisement
Information about Building Antimicrobial Stewardship and Engaging Prescribers
Health & Medicine

Published on March 7, 2014

Author: bcpsqc

Source: slideshare.net

Description

This presentation was delivered in session F1 of Quality Forum 2014 by:

Victor Leung
Infection Prevention & Control Physician
Providence Health Care
Clinical Assistant Professor, Pathology and Laboratory Medicine
UBC
advertisement

Building an antimicrobial stewardship program by engaging prescribers Dr. Victor Leung, MD FRCPC

SEX AND THE SUPERBUG The rise of drug-resistant gonorrhea. BY JEROME GROOPMAN

CONSEQUENCES OF INAPPROPRIATE ANTIBIOTIC USE

We have an opportunity to delay the postantibiotic era and optimize patient outcomes by improving antibiotic prescribing behavior

PROPHYLACTIC EMPIRIC PATHOGEGN DIRECTED SUSCEPTIBILITY GUIDED

Systematic and coordinated approach to selecting antimicrobials to achieve optimal outcomes Diagnostic test utilization Data collection + analysis Research Stewardship Infrastructure Collaboratio n with prescribers Academic Detailing Education Optimize Antimicrobial Use Formulary restrictions

PRIMARY DRIVERS OF INAPPROPRIATE ANTIMICROBIAL USE Indiscriminate laboratory testing Knowledge gaps Inappropriate Antimicrobial Use Inadequate documentation and transitions in care Diagnostic Uncertainty or Fear

Systematic and coordinated approach to using appropriate antimicrobial agents to achieve optimal outcomes Diagnostic test utilization Data collection + analysis Collaboration with prescribers Academic Detailing Education Stewardship Infrastructure Optimize Antimicrobial Use Formulary restrictions

Educational Journal Club Events Reached over 100 Prescribers

Systematic and coordinated approach to using antimicrobial agents to achieve optimal outcomes Diagnostic test utilization Data collection + analysis Collaboration with prescribers Academic Detailing Education Stewardship Infrastructure Optimize Antimicrobial Use Formulary restrictions

Academic detailing offers point-of-care education • Microbiologic data • Local resistance patterns • Evidence based guidelines • Potential errors: • Broad spectrum • Dosing • medication interactions • allergies

Systematic and coordinated approach to using antimicrobial agents to achieve optimal outcomes Diagnostic test utilization Data collection + analysis Collaboration with prescribers Academic Detailing Education Stewardship Infrastructure Optimize Antimicrobial Use Formulary restrictions

Urine Cultures from PHC Residential Care Facilities are Decreasing 300 250 Number of Urine Cutlures 200 2009 2010 150 2011 2012 100 2013 50 0 BF HFH Youville Residential Care Facility Lanagara

21

Systematic and coordinated approach to using antimicrobial agents to achieve optimal outcomes Diagnostic test utilization Data collection + analysis Collaboration with prescribers Academic Detailing Education Stewardship Infrastructure Optimize Antimicrobial Use Formulary restrictions

Year to Date (YTD) Antibiotic Expenditures $1,600,000 $1,400,000 Actual Expenditures $1,200,000 $1,000,000 $800,000 $600,000 Budgeted Expenditures $400,000 $200,000 $0 1 2 3 4 5 6 7 8 Periods 9 10 11 12 13

Systematic and coordinated approach to using antimicrobial agents to achieve optimal outcomes Diagnostic test utilization Data collection + analysis Collaboration with prescribers Academic Detailing Education Organizational Structure Optimize Antimicrobial Use Formulary restrictions

Systematic and coordinated approach to using antimicrobial agents to achieve optimal outcomes Diagnostic test utilization Data collection + analysis Collaboration with prescribers Academic Detailing Education Stewardship Infrastructure Optimize Antimicrobial Use Formulary restrictions

Call to action • The next time you prescribe an antimicrobial or assess the need for an antimicrobial, ask yourself: – What am I treating? – How long should I treat? – Is there an alternative, more appropriate antibiotic? bugs&drugs@providencehealth.bc.ca

Add a comment

Related presentations

Related pages

Building an antimicrobial stewardship program by engaging ...

Building an antimicrobial stewardship program by engaging ... Stewardship Infrastructure. ... prescribers . Formulary ...
Read more

Minnesota Guide to a Comprehensive Antimicrobial ...

The Minnesota Guide to Comprehensive Antimicrobial Stewardship ... Begin building an Antimicrobial Stewardship ... to prescribers regarding antimicrobial ...
Read more

Building Antimicrobial Stewardship and Engaging Prescribers

Building Antimicrobial Stewardship and Engaging Prescribers. Posted March 7, 2014 by kurt & filed under excludefromblog, Uncategorized. Download this ...
Read more

< ONLY REVERSE OUT OF PHC BLUE, BLACK ANTIMICROBIAL ...

Our program focuses on engaging prescribers in ... In the era of increasing antimicrobial resistance, prescribers ... Antimicrobial Stewardship Program ...
Read more

Antimicrobial Stewardship Forum 7 April 2011

Antimicrobial Stewardship . ... AMS team, engaging clinicians Program plan ... Lack of feedback to prescribers on antimicrobial
Read more

Minnesota Guide to a Comprehensive Antimicrobial ...

Begin building an Antimicrobial Stewardship ... feedback to prescribers regarding antimicrobial ... Minnesota Guide to a Comprehensive ...
Read more

Australian Commission on Safety & Quality in Healthcare ...

• Building Clinician ... – Education of prescribers, ... Australian Commission on Safety & Quality in Healthcare Antimicrobial Stewardship in ...
Read more