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Antimicrobial stewardship: an evidence-based, antimicrobial self-assessment toolkit (ASAT) for acute hospitals
- Source :
- Journal of Antimicrobial Chemotherapy. 65:2669-2673
- Publication Year :
- 2010
- Publisher :
- Oxford University Press (OUP), 2010.
-
Abstract
- To describe the methodology in developing an antimicrobial self-assessment toolkit (ASAT).The ASAT was developed through a National Pharmacy Reference Group using an evidence-based approach of published information and national reports to identify criteria for inclusion. These were subdivided into domains that addressed: 1) Antimicrobial management within the Trust-structures and lines of responsibility and accountability-high-level notification to the Board. 2) Operational delivery of an antimicrobial strategy-operational standards of good antimicrobial stewardship. 3) Risk assessment for antimicrobial chemotherapy. 4) Clinical governance assurance. 5) Education and training-training needs and delivery of education and training for all who issue, prescribe and administer antimicrobials. 6) Antimicrobial pharmacist-systems in place for ensuring their optimum use. 7) Patients, Carers and the Public-information needs of patients, carers and the public.A web-based toolkit was developed using information from national reports and guidance on antimicrobial stewardship. The toolkit offers a checklist for hospitals to self-assess their organizations' levels of antimicrobial stewardship.The ASAT offers a web-enabled, version-controlled instrument for the assessment of antimicrobial stewardship in acute hospitals. It may offer a sensitive instrument to assess longitudinal progress on antimicrobial stewardship in an individual institution or act as a benchmark with similar organizations. Further work is ongoing to evaluate and further refine the ASAT.
- Subjects :
- Microbiology (medical)
medicine.medical_specialty
Evidence-based practice
Pharmacist
Audit
Nursing
medicine
Humans
Antimicrobial stewardship
Pharmacology (medical)
Practice Patterns, Physicians'
Program Development
Intensive care medicine
Pharmacology
Infection Control
Internet
Antiinfective agent
Evidence-Based Medicine
business.industry
Evidence-based medicine
Decision Support Systems, Clinical
Antimicrobial
Drug Utilization
Hospitals
Anti-Bacterial Agents
Infectious Diseases
Practice Guidelines as Topic
business
Health impact assessment
Subjects
Details
- ISSN :
- 14602091 and 03057453
- Volume :
- 65
- Database :
- OpenAIRE
- Journal :
- Journal of Antimicrobial Chemotherapy
- Accession number :
- edsair.doi.dedup.....7014c6006b42c33aa5e9585e753073a4