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A model for improving and assessing outpatient stewardship initiatives for acute respiratory infection

  • Joan Guzik (a1), Pooja Kothari (a1), Misha Sharp (a1), Belinda Ostrowsky (a2) (a3), Gopi Patel (a4) (a3) and the United Hospital Fund Outpatient Antibiotic Stewardship Program Collaborative Team (a5)...

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Many hospitals have established inpatient antibiotic stewardship programs (ASPs), but outpatient activities remain limited. In 2016, the United Hospital Fund (UHF), an independent nonprofit working to build a more effective healthcare system for every New Yorker, launched a 2-stage grant-funded initiative to evaluate outpatient antibiotic stewardship, focusing on adults with acute respiratory infections (ARIs). Conclusions from stage 1 included few outpatient antibiotic stewardship activities, variation in prescribing, macrolides as the most commonly prescribed antibiotic, and provider interest in improving prescribing.1

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Corresponding author

Author for correspondence: Joan Guzik, Quality Improvement, United Hospital Fund, 1411 Broadway, 12th Floor, New York, NY 10018. E-mail: jguzik@uhfnyc.org

References

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1. Guzik, J, Patel, G, Kothari, P, Sharp, M, Ostrowsky, B. Antibiotic prescribing for acute respiratory infections in New York City: a model for collaboration. Infect Control Hosp Epidemiol 2018;39:13601366.
2. Sanchez, GV, Fleming-Dutra, KE, Roberts, RM, Hicks, LA. Core elements of outpatient antibiotic stewardship. MMWR Recomm Rep 2016;65:112.
3. Weiner, BJ, Shortell, SM, Alexander, J. Promoting clinical involvement in hospital quality improvement efforts: the effects of top management, board, and physician leadership. Health Serv Res 1997;32:491510.
4. The NYS STop Antibiotic Resistance Roadmap (STARR). New York State Department of Health website. https://www.health.ny.gov/professionals/protocols_and_guidelines/antibiotic_resistance/docs/nys_starr.pdf. Published 2018. Accessed July 8, 2019.
5. Guzik, J, Kothari, P. Antibiotic stewardship for acute respiratory infections: the Milstein toolkit for ambulatory care practices. https://uhfnyc.org/publications/publication/antibiotic-stewardship-milstein-toolkit/. Published 2019. Accessed July 8, 2019.

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A model for improving and assessing outpatient stewardship initiatives for acute respiratory infection

  • Joan Guzik (a1), Pooja Kothari (a1), Misha Sharp (a1), Belinda Ostrowsky (a2) (a3), Gopi Patel (a4) (a3) and the United Hospital Fund Outpatient Antibiotic Stewardship Program Collaborative Team (a5)...

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