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Leading Practices in Antimicrobial Stewardship: Conference Summary
Summary
Hospitals can enhance antimicrobial stewardship (AS) programs by implementing advanced interventions like diagnostic and handshake stewardship. Leading practices focus on improving antibiotic prescribing and engaging frontline providers for better outcomes.
Area of Science:
- Healthcare Management
- Infectious Disease Control
- Clinical Pharmacy
Background:
- The Joint Commission implemented hospital antimicrobial stewardship (AS) standards in 2017, with most hospitals establishing leadership and organizational structures.
- Hospitals need to advance their AS programs beyond foundational elements to further optimize antibiotic use.
Purpose of the Study:
- To identify leading practices for antimicrobial stewardship (AS) interventions and measurement beyond current guidelines.
- To provide actionable strategies for hospitals to strengthen their existing AS programs.
Main Methods:
- Convened a meeting of experts and key stakeholder organizations sponsored by The Joint Commission and Pew Charitable Trusts.
- Experts presented leading AS interventions and measurement practices for successful hospital programs.
Main Results:
- Highlighted diagnostic stewardship (addressing diagnostic errors leading to inappropriate prescribing) and handshake stewardship (engaging frontline providers) as leading practices.
- Recommended days of therapy (DOT), Clostridioides difficile rates, and adherence to facility-specific guidelines as preferred AS measures.
Conclusions:
- The identified leading practices, diagnostic and handshake stewardship, should be emphasized by The Joint Commission.
- The Centers for Disease Control and Prevention will update its Core Elements of Hospital Antibiotic Stewardship Programs, likely incorporating these advanced strategies.
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