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

Published online by Cambridge University Press:  26 July 2019

Joan Guzik ,
Pooja Kothari ,
Misha Sharp ,
Belinda Ostrowsky ,
Gopi Patel  and
the United Hospital Fund Outpatient Antibiotic Stewardship Program Collaborative Team
Joan Guzik*
Affiliation:
United Hospital Fund, New York, New York
Pooja Kothari
Affiliation:
United Hospital Fund, New York, New York
Misha Sharp
Affiliation:
United Hospital Fund, New York, New York
Belinda Ostrowsky
Affiliation:
Division of Infectious Diseases, Department of Medicine, Montefiore Medical Center, Albert Einstein College Medicine, New York, New York Authors of equal contribution.
Gopi Patel
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, New York Authors of equal contribution.
the United Hospital Fund Outpatient Antibiotic Stewardship Program Collaborative Team
Affiliation:
Members of the UHF Outpatient ASP Collaborative Team: Jonathan Arend MD, Mount Sinai Health System, New York, NY; Kelsie Cowman, MPH, Montefiore Medical Center, New York, NY; George D. Rodriguez PharmD, NewYork-Presbyterian/Queens, Flushing, NY; Susan K. Seo MD, Memorial Sloan Kettering Cancer Center, New York, NY, Jilan Shah MD, Wyckoff Heights Medical Center, Brooklyn, NY; Anna Stachel MPH, NYU Langone Medical Center, New York, NY; and Luigi Tullo MD, MediSys Health Network, New York, NY
*
Author for correspondence: Joan Guzik, Quality Improvement, United Hospital Fund, 1411 Broadway, 12th Floor, New York, NY 10018. E-mail: jguzik@uhfnyc.org
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Extract

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

Type
Research Brief
Information
Infection Control & Hospital Epidemiology , Volume 40 , Issue 10 , October 2019 , pp. 1198 - 1200
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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References

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