Sharing Antimicrobial Reports for Pediatric Stewardship (SHARPS): A Quality Improvement Collaborative

Area of Science:

• Pediatric Infectious Diseases
• Antimicrobial Stewardship
• Quality Improvement Collaboratives

Background:

• Limited data-driven benchmarks exist for optimizing antimicrobial use in pediatric hospitals.
• Antimicrobial Stewardship Programs (ASPs) are established in many children's hospitals.
• A need for multicenter collaboration to improve prescribing practices was identified.

Purpose of the Study:

• To develop a multicenter quality improvement collaborative for pediatric antimicrobial stewardship.
• To facilitate data sharing and benchmarking of antimicrobial use among children's hospitals.
• To enhance antimicrobial prescribing among hospitalized children.

Main Methods:

• Established the Sharing Antimicrobial Reports for Pediatric Stewardship (SHARPS) collaborative in 2013.
• Collected hospital and ASP characteristics via a standardized survey.
• Developed antimicrobial-use data reports based on participant input.
• Provided learning opportunities through webinars and meetings.

Main Results:

• 36 US hospitals participated in the SHARPS collaborative since 2013.
• Developed 26 data reports, including benchmarking by agent, indication, and service line.
• Conducted 27 webinars and 3 in-person meetings.
• Facilitated approximately 36 distinct stewardship interventions.

Conclusions:

• The pediatric antimicrobial stewardship collaborative has successfully promoted ASP development and innovation.
• Further research is required to assess the impact of these collaborative efforts.
• The SHARPS model demonstrates a viable approach to improving pediatric antimicrobial stewardship.