Impact of unit-specific metrics and prescribing tools on a family medicine ward.

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dc.contributor.authorMercuro, Nicholas J
dc.contributor.authorLodise, Thomas P
dc.contributor.authorKenney, Rachel M
dc.contributor.authorRezik, Berta
dc.contributor.authorVemulapalli, Raghavendra C
dc.contributor.authorCostandi, Mariam J
dc.contributor.authorDavis, Susan L
dc.contributor.orcidhttps://orcid.org/0000-0002-4730-0655
dc.date.accessioned2025-02-07T19:35:06Z
dc.date.available2025-02-07T19:35:06Z
dc.date.issued2020-11
dc.descriptionClick on the Resource Link to access the article (may not be free).
dc.description.abstractOBJECTIVE: Prescribing metrics, cost, and surrogate markers are often used to describe the value of antimicrobial stewardship (AMS) programs. However, process measures are only indirectly related to clinical outcomes and may not represent the total effect of an intervention. We determined the global impact of a multifaceted AMS initiative for hospitalized adults with common infections. DESIGN: Single center, quasi-experimental study. METHODS: Hospitalized adults with urinary, skin, and respiratory tract infections discharged from family medicine and internal medicine wards before (January 2017-June 2017) and after (January 2018-June 2018) an AMS initiative on a family medicine ward were included. A series of AMS-focused initiatives comprised the development and dissemination of: handheld prescribing tools, AMS positive feedback cases, and academic modules. We compared the effect on an ordinal end point consisting of clinical resolution, adverse drug events, and antimicrobial optimization between the preintervention and postintervention periods. RESULTS: In total, 256 subjects were included before and after an AMS intervention. Excessive durations of therapy were reduced from 40.3% to 22% (P < .001). Patients without an optimized antimicrobial course were more likely to experience clinical failure (OR, 2.35; 95% CI, 1.17-4.72). The likelihood of a better global outcome was greater in the family medicine intervention arm (62.0%, 95% CI, 59.6-67.1) than in the preintervention family medicine arm. CONCLUSION: Collaborative, targeted feedback with prescribing metrics, AMS cases, and education improved global outcomes for hospitalized adults on a family medicine ward.
dc.description.urihttps://doi.org/10.1017/ice.2020.288
dc.identifier.citationMercuro NJ, Lodise TP, Kenney RM, Rezik B, Vemulapalli RC, Costandi MJ, Davis SL. Impact of unit-specific metrics and prescribing tools on a family medicine ward. Infect Control Hosp Epidemiol. 2020 Nov;41(11):1272-1278. doi: 10.1017/ice.2020.288. Epub 2020 Jul 1. PMID: 32605686.
dc.identifier.issn0899-823X
dc.identifier.other32605686
dc.identifier.urihttps://hdl.handle.net/20.500.14303/828
dc.language.isoen
dc.publisherCambridge University Press
dc.relation.ispartofInfection Control and Hospital Epidemiology
dc.rightsThis Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). http://rightsstatements.org/vocab/InC/1.0/
dc.subjectAdult
dc.subjectAnti-Bacterial Agents/therapeutic use
dc.subjectAntimicrobial Stewardship
dc.subjectBenchmarking
dc.subjectDrug Prescriptions
dc.subjectFamily Practice
dc.subjectRespiratory Tract Infections/drug therapy
dc.titleImpact of unit-specific metrics and prescribing tools on a family medicine ward.
dc.typeArticle
local.departmentprogramDepartment of Pharmacy Practice
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