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Harnessing the Power of Health Systems and Networks for Antimicrobial Stewardship.


ABSTRACT: Twenty of 21 health systems and network-based antimicrobial stewardship programs (ASPs) who were invited participated in a questionnaire, a webinar, and focus groups to understand implementation strategies for system-wide antimicrobial stewardship. Four centralized ASPs structures emerged. Of participating organizations, 3 (15%) confirmed classification as collaborative, 3 (15%) as centrally coordinated, 3 (15%) as in between or in transition between centrally coordinated and centrally led, 8 (40%) as centrally led, 2 (10%) as collaborative, consultative network. One (5%) organization considered themselves to be a hybrid. System-level stewardship responsibilities varied across sites and generally fell into 6 major categories: building and leading a stewardship community, strategic planning and goal setting, development of validated data streams, leveraging tools and technology for stewardship interventions, provision of subject-matter expertise, and communication/education. Centralized ASPs included in this study most commonly took a centrally led approach and engaged in activities tailored to system-wide goals.

SUBMITTER: Buckel WR 

PROVIDER: S-EPMC9710658 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature

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Harnessing the Power of Health Systems and Networks for Antimicrobial Stewardship.

Buckel Whitney R WR   Stenehjem Edward A EA   Hersh Adam L AL   Hyun David Y DY   Zetts Rachel M RM  

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 20221101 11


Twenty of 21 health systems and network-based antimicrobial stewardship programs (ASPs) who were invited participated in a questionnaire, a webinar, and focus groups to understand implementation strategies for system-wide antimicrobial stewardship. Four centralized ASPs structures emerged. Of participating organizations, 3 (15%) confirmed classification as collaborative, 3 (15%) as centrally coordinated, 3 (15%) as in between or in transition between centrally coordinated and centrally led, 8 (4  ...[more]

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