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Antimicrobial physician and pharmacist experience and perception of an antimicrobial Self-Stewardship Time-Out Program (SSTOP) intervention at eight Veterans’ Affairs medical centers

Published online by Cambridge University Press:  24 January 2023

Cassie Cunningham Goedken*
Affiliation:
Center for Access Delivery & Research and Evaluation, (CADRE) Iowa City Veterans’ Affairs (VA) Health Care System, Iowa City, Iowa
Jorie M. Butler
Affiliation:
Salt Lake City VA Healthcare System, Salt Lake City, Utah University of Utah, Salt Lake City, Utah
Joshua Judd
Affiliation:
Salt Lake City VA Healthcare System, Salt Lake City, Utah University of Utah, Salt Lake City, Utah
Nui Brown
Affiliation:
VA Greater Los Angeles Healthcare System, Los Angeles, California University of California Los Angeles, Los Angeles, California
Michael Rubin
Affiliation:
Salt Lake City VA Healthcare System, Salt Lake City, Utah University of Utah, Salt Lake City, Utah
Matthew Bidwell Goetz
Affiliation:
VA Greater Los Angeles Healthcare System, Los Angeles, California University of California Los Angeles, Los Angeles, California
*
Author for correspondence: Cassie Goedken, E-mail: cassie.goedken@va.gov

Abstract

We explored experiences and perceptions surrounding the Self-Stewardship Time-Out Program (SSTOP) intervention across implementation sites to improve antimicrobial use. Semistructured qualitative interviews were conducted with Antibiotic Stewardship physicians and pharmacists, from which 5 key themes emerged. SSTOP may serve to achieve sustainable promotion of antibiotic use improvements.

Type
Concise Communication
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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Footnotes

PREVIOUS PRESENTATION. A version of this study was presented at Society for Healthcare Epidemiology of America Conference April 13–16, 2021, held virtually, and at the 14th Annual Conference on the Science of Dissemination and Implementation in Health, December 14–16, 2021, held virtually.

References

Davey, P, Brown, E, Charani, E, et al. Interventions to improve antibiotic prescribing practices for hospital inpatients. Cochrane Database Syst Rev 2013;4:CD003543.Google Scholar
Rzewuska, M, Charani, E, Clarkson, JE, et al. Prioritizing research areas for antibiotic stewardship programmes in hospitals: a behavioural perspective consensus paper. Clin Microbiol Infect 2019;25:163168.CrossRefGoogle ScholarPubMed
Schweitzer, VA, van Werkhoven, CH, Rodríguez, J, et al. Optimizing design of research to evaluate antibiotic stewardship interventions: consensus recommendations of a multinational working group. Clin Microbiol Infect 2020;26:4150.CrossRefGoogle ScholarPubMed
Avorn, J, Solomon, DH. Cultural and economic factors that (mis)shape antibiotic use: the nonpharmacologic basis of therapeutics. Ann Intern Med 2000;133:128135.CrossRefGoogle ScholarPubMed
Lee, TC, Frenette, C, Jayaraman, D, Green, L, Pilote, L. Antibiotic self-stewardship: trainee-led structured antibiotic time-outs to improve antimicrobial use. Ann Intern Med 2014;161 suppl 10:S53S58.10.7326/M13-3016CrossRefGoogle ScholarPubMed
Graber, CJ, Jones, MM, Glassman, PA, et al. Taking an antibiotic time-out: utilization and usability of a self-stewardship time-out program for renewal of vancomycin and piperacillin-tazobactam. Hosp Pharm 2015;50:10111124.CrossRefGoogle ScholarPubMed
Jones, M, Butler, J, Graber, CJ, et al. Think twice: a cognitive perspective of an antibiotic timeout intervention to improve antibiotic use. J Biomed Inform 2017 Jul;71S:S22S31.10.1016/j.jbi.2016.06.005CrossRefGoogle ScholarPubMed
Graber, CJ, Jones, MM, Goetz, MB, et al. Decreases in antimicrobial use associated with multihospital implementation of electronic antimicrobial stewardship tools. Clin Infect Dis 2020;71:11681176.CrossRefGoogle ScholarPubMed
Pope, CMN. Qualitative Research in Health Care, Third Edition. Malden, MA: Blackwell; 2006.10.1002/9780470750841CrossRefGoogle Scholar
Meeker, D, Linder, JA, Fox, CR, et al. Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial. JAMA 2016; 315:562570.CrossRefGoogle ScholarPubMed
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