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Finding the path of least resistance: Locally adapting the MITIGATE toolkit in emergency departments and urgent care centers

Published online by Cambridge University Press:  19 February 2021

Joanne Huang ,
Zahra Kassamali Escobar ,
Todd S. Bouchard ,
Jose Mari G. Lansang ,
Rupali Jain ,
Jeannie D. Chan ,
John B. Lynch ,
Marisa A. D’Angeli ,
Larissa S. May  and
Chloe Bryson-Cahn
Joanne Huang
Affiliation:
University of Washington Medicine, University of Washington Medical Center, Seattle, Washington University of Washington School of Pharmacy, Seattle, Washington
Zahra Kassamali Escobar
Affiliation:
University of Washington School of Pharmacy, Seattle, Washington University of Washington Medicine, Valley Medical Center, Renton, Washington
Todd S. Bouchard
Affiliation:
University of Washington Medicine, Valley Medical Center, Renton, Washington
Jose Mari G. Lansang
Affiliation:
University of Washington Medicine, Valley Medical Center, Renton, Washington
Rupali Jain
Affiliation:
University of Washington Medicine, University of Washington Medical Center, Seattle, Washington University of Washington School of Pharmacy, Seattle, Washington
Jeannie D. Chan
Affiliation:
University of Washington School of Pharmacy, Seattle, Washington University of Washington Medicine, Harborview Medical Center, Seattle, Washington
John B. Lynch
Affiliation:
University of Washington Medicine, Harborview Medical Center, Seattle, Washington Division of Allergy and Infectious Diseases, University of Washington School of Medicine, Seattle, Washington
Marisa A. D’Angeli
Affiliation:
Washington State Department of Health, Healthcare Associated Infections Program, Shoreline, Washington
Larissa S. May
Affiliation:
Department of Emergency Medicine, University of California-Davis Health, Sacramento, California
Chloe Bryson-Cahn*
Affiliation:
University of Washington Medicine, Harborview Medical Center, Seattle, Washington Division of Allergy and Infectious Diseases, University of Washington School of Medicine, Seattle, Washington
*
Author for correspondence: Chloe Bryson-Cahn, Harborview Medical Center, 325 Ninth Avenue, Box 359778, Seattle, WA 98104. E-mail: chloebc@uw.edu
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Abstract

The MITIGATE toolkit was developed to assist urgent care and emergency departments in the development of antimicrobial stewardship programs. At the University of Washington, we adopted the MITIGATE toolkit in 10 urgent care centers, 9 primary care clinics, and 1 emergency department. We encountered and overcame challenges: a complex data build, choosing feasible outcomes to measure, issues with accurate coding, and maintaining positive stewardship relationships. Herein, we discuss solutions to challenges we encountered to provide guidance for those considering using this toolkit.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 42 , Issue 11 , November 2021 , pp. 1376 - 1378
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Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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