Relias Media - Continuing Medical Education Publishing

The trusted source for

healthcare information and

CONTINUING EDUCATION.

  • Sign In
  • Sign Out
  • MyAHC
    • Home
      • Home
      • Newsletters
      • Blogs
      • Archives
      • CME/CE Map
      • Shop
    • Emergency
      • All Products
      • Publications
      • Study Guides
      • Webinars
      • Group Sales
    • Hospital
      • All Products
      • Publications
      • Study Guides
      • Webinars
      • Group Sales
    • Clinical
      • All Products
      • Publications
      • Study Guides
      • Webinars
      • Group Sales
    • All Access
      • My Subscription
      • Subscribe Now
    • My Account
      • My Subscriptions
      • My Content
      • My Orders
      • My CME/CE
      • My Transcript
    Home » Stewardship Recommendations for Critical Access Hospitals

    Stewardship Recommendations for Critical Access Hospitals

    Seven core elements of a program to curb drug use

    January 1, 2018
    No Comments
    Reprints
    Facebook Twitter Linkedin Share Share

    Related Articles

    CMS Finalizes Drug Stewardship Regulation for Hospitals

    Critical Access Hospitals As Good, Or Better, for Common Surgical Procedures

    Accreditation program for critical access hospitals

    Related Products

    CMS Regulation taps IPs for Key Stewardship Role Proposed rule calls for antibiotic stewardship in all hospitals

    While preventing drug-resistant bugs is a national public health priority, critical access hospitals should adopt antibiotic stewardship programs in line with their own needs and resources, the CDC states in new guidelines.

    “Flexibility and tailoring approaches to local needs is essential,” the CDC states in the guidelines.1 “The options presented are not intended as a checklist of ‘must-dos.’ Rather, the goal is to present options that might help small and critical access hospitals ensure that each of the core elements is in place.”

    The seven core elements for antibiotic stewardship programs in critical access hospitals are summarized as follows. For more details and examples, see the full CDC report at: http://bit.ly/2kvGIGV.

    1, 2. Leadership Commitment/Accountability: “Obtain leadership commitment from the chief medical officer, pharmacy director, and nursing leaders, as this can encourage physician, pharmacist, infection preventionist, and nurse engagement to implement stewardship initiatives,” the CDC recommends. “For example, integrate stewardship activities into ongoing quality improvement and patient safety efforts. … Issue a statement from the hospital leadership to all providers and patients highlighting the hospital’s commitment to improving antibiotic use.”

    3. Drug Expertise: “In most critical access hospitals, a pharmacist, usually one who is onsite, provides the leadership and expertise for the antibiotic stewardship program. When possible, having a physician leader is helpful to support the pharmacist,” the CDC recommends.

    4. Action: “There are a number of evidenced-based interventions that can improve antibiotic use,” the CDC notes. “Decisions on which to use should be based on local needs, which are best determined through discussions with providers and a review of your antibiotic use. The majority of all antibiotic use in hospitals is driven by just three conditions: community-acquired pneumonia, urinary tract infections, and skin and soft tissue infections. … [T]hese are often high-yield targets for improvement.”

    5. Tracking: “Data are essential for informing and assessing stewardship actions,” the CDC advises. “The key is to have a measure that is useful for stewardship activities, meaningful to providers, and that can be tracked over time to assess improvements. … For example, days of therapy is considered the most useful measure of antibiotic use to inform stewardship efforts.”

    6. Reporting: “Prepare regular reports on the measures being tracked related to antibiotic use. Data on stewardship efforts should be reported not just to providers, but also to the hospital leadership and board,” the CDC recommends.

    7. Education: “The pharmacist and/or physician leader can provide stewardship education (e.g., optimizing diagnosis and treatment for the commonly encountered infections, reducing unnecessary duplicate therapy, etc.) to individual providers and pharmacists,” the CDC notes. “Specific education for nurses could also be very helpful; for example, criteria for intravenous to oral conversion, optimal technique for culture collection, and criteria for when to obtain a urine culture.”

    REFERENCE

    1. CDC. Implementation of Antibiotic Stewardship Core Elements at Small and Critical Access Hospitals. 2017. Available at: http://bit.ly/2kvGIGV.

    Post a comment to this article

    Report Abusive Comment

    www.reliasmedia.com

    Hospital Infection Control & Prevention

    View PDF
    Hospital Infection Control & Prevention (Vol. 45, No. 1) January 2018
    January 1, 2018

    Table Of Contents

    Quest for a Universal Flu Shot Ramps Up at NIH

    HIV Update: Testing Urged to Continue Progress

    Bad Bugs in Small Hospitals

    Stewardship Recommendations for Critical Access Hospitals

    CMS Reg in Limbo, but Joint Commission Standard Kicks In

    Joint Commission Antibiotic Stewardship Standard

    Flu Vaccine Refusal: 50 Healthcare Workers Fired

    The High Costs of Measles Investigations

    Begin Test

    Buy this Issue/Course

    Financial Disclosure: Senior Writer Gary Evans, Editor Jesse Saffron, Editor Jill Drachenberg, Nurse Planner Patti Grant, RN, BSN, MS, CIC, Peer Reviewer Patrick Joseph, MD, and Editorial Group Manager Terrey L. Hatcher report no consultant, stockholder, speaker’s bureau, research, or other financial relationships with companies having ties to this field of study.

    Shop Now: Search Products

    • Subscription Publications
    • Books & Study Guides
    • Webinars
    • Group & Site
      Licenses
    • State CME/CE
      Requirements

    Webinars And Events

    View All Events
    • Home
      • Home
      • Newsletters
      • Blogs
      • Archives
      • CME/CE Map
      • Shop
    • Emergency
      • All Products
      • Publications
      • Study Guides
      • Webinars
      • Group Sales
    • Hospital
      • All Products
      • Publications
      • Study Guides
      • Webinars
      • Group Sales
    • Clinical
      • All Products
      • Publications
      • Study Guides
      • Webinars
      • Group Sales
    • All Access
      • My Subscription
      • Subscribe Now
    • My Account
      • My Subscriptions
      • My Content
      • My Orders
      • My CME/CE
      • My Transcript
    • Help
    • Search
    • About Us
    • Sign In
    • Register
    Relias Media - Continuing Medical Education Publishing

    The trusted source for

    healthcare information and

    CONTINUING EDUCATION.

    Customer Service

    customerservice@reliasmedia.com

    U.S. and Canada: 1-800-688-2421 x 2

    International +1-404-262-5476 x 2

    Accounts Receivable

    1-800-688-2421 x 3
    ReliasMedia_AR@reliasmedia.com

    Sales

    1-800-688-2421 x 1

    Mailing Address

    • 1010 Sync St., Suite 100
      Morrisville, NC 27560-5468
      USA

    © 2022 Relias. All rights reserved.

    Do Not Sell My Personal Information  Privacy Policy  Terms of Use  Contact Us  Reprints  Group Sales

    For DSR inquiries or complaints, please reach out to Wes Vaux, Data Privacy Officer, DPO@relias.com

    Design, CMS, Hosting & Web Development :: ePublishing