My Journey to Antibiotic Stewardship (in a small, rural hospital) by Michael Stearns, RPh, CASAC, Director of Pharmacy
"Michael Stearns, RPh, is director of pharmacy at Ellenville Regional Hospital in Ellenville, NY. He notes that in recent years, the hospital participated in the Health Resources & Services Administration (HRSA) Patient Safety and Clinical Pharmacy Services program, which highlighted the need for effective patient-provider liaisons and improved communication and better management of antibiotic prescriptions. Working with that program, the hospital made significant clinical improvements, including: more than 80% of patients who were prescribed intravenous (IV) antibiotics received them in less than 30 minutes; more than 90% of patients with IV antibiotics converted to oral antibiotics post-pharmacy consultation; and pharmacists reviewed more than 90% of Culture & Sensitivity Reports. With provider consultation, pharmacists performed antibiotic dose adjustment evaluations in more than 90% of patients. Based on his experience with implementing an antibiotic stewardship program in a small, rural hospital, Stearns recommends using the CDC Core Elements as a framework, and taking a multidisciplinary approach involve pharmacists, physicians, infection control nurses, and administrative staff. He emphasizes that timely, effective communication is a must."
Read the full article here: https://blogs.cdc.gov/safehealthcare/my-journey-to-antibiotic-stewardship-in-a-small-rural-hospital/