通过地区抗菌药物管理协作提高当地生产力。

Morgan C Johnson, Jessica Bennett, Angela Kaucher, Kelly Davis, Milner Staub, Neena Thomas-Gosain
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引用次数: 0

摘要

背景:抗菌药物管理计划(ASP)对提高患者安全和确保护理质量至关重要,但往往资源不足,限制了其有效性和覆盖范围。尽管抗菌药物管理计划取得成功的障碍已被充分记录在案,但仍需要利用有限的资源来解决这些障碍。管理网络和协作已成为可能的解决方案。2020 年 1 月,美国退伍军人事务部的 5 家机构成立了地区性 ASP 合作组织。在本文中,我们将介绍该合作组织对设施内 ASP 生产率的影响:方法:5 家机构的 ASP 年度报告分别提供了回顾性数据。我们审查了 2019 财年的报告和 2020-2022 财年的报告。收集了人员配置、住院病人和门诊病人监管报告、个人和合作计划以及出版物数据,以衡量工作效率。对每个机构和整个地区的年度结果进行了趋势分析。此外,还使用 COVID-19 抗生素使用仪表板和上呼吸道感染仪表板来审查合作期间各项措施对抗生素处方的影响:结果:门诊指标的定期报告有所增加;2019 年有 27% 的指标有所改善,2022 年增至 60%。所有 5 家机构的 ASP 计划从 2019 年的 33 项增加到 2022 年的 41 项(增加 24%),合作计划也相应从 0 项增加到 6 项。同样,出版物也从 2019 年的 2 份增加到 2022 年的 17 份(增加了 750%)。住院病人指标的报告率和改进率没有显著变化:ASP 合作项目通过分享改进实践、分配项目工作量和增加出版物,提高了区域内的效率和生产力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Increasing Local Productivity Through a Regional Antimicrobial Stewardship Collaborative.

Background: Antimicrobial stewardship programs (ASPs) are vital to improving patient safety and ensuring quality of care but are often underresourced, limiting their effectiveness and reach. While barriers to ASP success have been well documented, approaches to address these barriers with limited resources are needed. Stewardship networks and collaboratives have emerged as possible solutions. In January 2020, 5 US Department of Veterans Affairs facilities created a regional ASP collaborative. In this article, we describe the impact of this collaborative on the productivity of the facilities' ASPs.

Methods: ASP annual reports for each of the 5 facilities provided retrospective data. Reports from fiscal year (FY) 2019 and reports from FY 2020-2022 were reviewed. Staffing, inpatient and outpatient stewardship reporting, individual and collaborative initiatives, and publications data were collected to measure productivity. Yearly results were trended for each facility and for the region. Additionally, the COVID-19 antibiotic use dashboard and upper respiratory infection dashboard were used to review the impact of initiatives on antibiotic prescribing during the collaborative.

Results: Regular reporting of outpatient metrics increased; 27% of measures showed improvement in 2019 and increased to 60% in 2022. For all 5 facilities, ASP initiatives increased from 33 in 2019 to 41 in 2022 (24% increase) with a corresponding increase in collaborative initiatives from 0 to 6. Likewise, publications increased from 2 in 2019 to 17 in 2022 (750% increase). Rates of reporting and improvement in inpatient metrics did not change significantly.

Conclusions: The ASP collaborative aided in efficiency and productivity within the region by sharing improvement practices, distributing workload for initiatives, and increasing publications.

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