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Validation of National Healthcare Safety Network–reported core elements of antimicrobial stewardship in Tennessee

  • Christopher D. Evans (a1), Katie A. Thure (a1), Honour M. McDaniel (a1), Cullen J. Adre (a1), Vicky P. Reed (a1), Pamela P. Talley (a1) and Marion A. Kainer (a1)...


A survey of hospital antimicrobial stewardship programs was performed to validate core element achievement data from the National Healthcare Safety Network’s (NHSN) Patient Safety Component Annual Survey. In total, 89% of hospitals met all 7 core elements, compared to only 68% according to the NHSN survey.


Corresponding author

Author for correspondence: Christopher D. Evans, Email:


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PREVIOUS PRESENTATION: Part of these data were presented as Abstract 9443 (Thure KA, Evans CD, Adre CJ, et al. Statewide validation of the CDC’s core elements of hospital antimicrobial stewardship programs) at the 2018 Council of State and Territorial Epidemiologists Annual Conference on June 13, 2018, in West Palm Beach, Florida.



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1. Core Elements of Hospital Antibiotic Stewardship Programs. Centers for Disease Control and Prevention website. Published 2014. Accessed July 31, 2018.
2. The Joint Commission. Approved: new antimicrobial stewardship standard. Jt Comm Perspect 2016;36(7):18.
3. O’Leary, EN, van Santen, KL, Webb, AK, et al. Uptake of antibiotic stewardship programs in US acute care hospitals: findings from the 2015 National Healthcare Safety Network Annual Hospital Survey. Clin Infect Dis 2017;65:17481750.
4. National Quality Forum, National Quality Partners, and Antibiotic Stewardship Action Team. National Quality Partners Playbook: Antibiotic Stewardship in Acute Care. National Quality Forum Website Published 2016. Accessed July 31, 2018.
5. Harris, PA, Taylor, R, Thielke, R, et al. Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 2009;42:377381.
6. Janelle, SJ, Spencer, DR, Hoxworth, T, et al. Tale of two surveys: antibiotic stewardship and infection control practices according to the NHSN annual survey and the healthcare-associated infections and antimicrobial use prevalence survey—Colorado, 2014–15. In: Program of the 2016 Council of State and Territorial Epidemiologists Annual Conference, June 19–23, 2016, Anchorage, AK. Abstract 6482.
7. Kuper, K, Van Santen, K, Pakyz, A, et al. Validation of NHSN Annual Hospital Survey questions: do responses differ depending on the professional completing the survey? Poster presented at IDWeek 2017, October 4–8, 2017, San Diego, CA. Poster 1631.
8. Haque, M, Alvarez, A. A tale of two assessments: how are Virginia Hospitals meeting the core elements of antibiotic stewardship? In: Program of the 2016 Council of State and Territorial Epidemiologists Annual Conference, June 19–23, 2016, Anchorage, AK. Abstract 6573.
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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
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Supplementary materials

Evans et al. supplementary material
Evans et al. supplementary material 1

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