Addressing Inpatient Beta-Lactam Allergies: A Multihospital Implementation.

ABSTRACT: Addressing inaccurate penicillin allergies is encouraged as part of antibiotic stewardship in the inpatient setting. However, implementing interventions targeted at the 10% to 15% of inpatients reporting a previous penicillin allergy can pose substantial logistic challenges. We implemented a computerized guideline for patients with reported beta-lactam allergy at 5 hospitals within a single health care system in the Boston area. In this article, we describe our implementation roadmap, including both successes achieved and challenges faced. We explain key implementation steps, including assembling a team, stakeholder engagement, developing or selecting an approach, spreading the change, establishing measures, and measuring impact. The objective was to detail the lessons learned while empowe

SUBMITTER: Blumenthal KG 

PROVIDER: S-EPMC5484001 | biostudies-literature | 2017 May - Jun

REPOSITORIES: biostudies-literature