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Improving IV Insulin Administration in a Community Hospital

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Published on: June 11, 2012

Implementing antimicrobial stewardship core elements in Utah nursing homes.

Tariq A Mosleh¹, April Clements¹, Devin Beard¹

¹Utah Department of Health and Human Services, Salt Lake City, UT.

American Journal of Infection Control

|May 16, 2025

Summary

This summary is machine-generated.

Nursing homes in Utah show strong leadership support for Antimicrobial Stewardship Programs (ASPs). However, challenges remain in accountability, expert partnerships, and patient education for effective antibiotic use.

Keywords:

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Area of Science:

Healthcare Management
Infectious Disease Control
Public Health Policy

Background:

Mandated in 2017 by CMS, Antimicrobial Stewardship Programs (ASPs) are integral to nursing home infection control.
This study evaluates the current state of ASP implementation within Utah nursing homes.

Purpose of the Study:

To assess the adoption and effectiveness of the seven core elements of ASPs in Utah nursing homes.
Identify key strengths and areas needing improvement in nursing home ASPs.

Main Methods:

A cross-sectional survey was administered to Utah nursing homes.
The survey instrument was based on the CDC's seven core elements of ASPs.
Data was collected using REDCap.

Main Results:

A 50% response rate was achieved from 49 participating nursing homes.
96% of facilities reported leadership support and facility policies for ASPs.
Gaps identified include accountability (22%), infectious disease expert availability (33%), and patient education.

Conclusions:

While leadership commitment is high, significant areas for improvement exist in Utah nursing homes' ASPs.
Enhancing partnerships with referral hospitals, utilizing comprehensive monitoring tools, and implementing patient education are crucial.
Targeted interventions are needed to strengthen ASP core element implementation in nursing homes.