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In-depth assessment of critical access hospital stewardship program adherence to the CDC Core Elements in Iowa and Nebraska

Published online by Cambridge University Press:  03 August 2023

Jonathan H. Ryder Open the ORCID record for Jonathan H. Ryder [Opens in a new window] ,
Jenna Preusker ,
Andrew B. Watkins ,
Jeremy Tigh Open the ORCID record for Jeremy Tigh [Opens in a new window] ,
Danny Schroeder ,
Muhammad Salman Ashraf  and
Trevor C. Van Schooneveld Open the ORCID record for Trevor C. Van Schooneveld [Opens in a new window]
Jonathan H. Ryder*
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA
Jenna Preusker
Affiliation:
Department of Pharmaceutical and Nutritional Care, Nebraska Medicine, Omaha, NE, USA Nebraska Department of Health and Human Services, Lincoln, NE, USA
Andrew B. Watkins
Affiliation:
St. Dominic Jackson Memorial Hospital, Jackson, MS, USA
Jeremy Tigh
Affiliation:
Department of Pharmaceutical and Nutritional Care, Nebraska Medicine, Omaha, NE, USA
Danny Schroeder
Affiliation:
Department of Pharmaceutical and Nutritional Care, Nebraska Medicine, Omaha, NE, USA
Muhammad Salman Ashraf
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA Nebraska Department of Health and Human Services, Lincoln, NE, USA
Trevor C. Van Schooneveld
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA
*
Corresponding author: Jonathan Ryder; Email: jonathan.ryder@unmc.edu
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Abstract

In 21 antimicrobial stewardship programs in critical-access hospitals in Nebraska and Iowa that self-reported nonadherence to a CDC Core Element or Elements, in-depth program assessment and feedback revealed that accountability and education most needed improvement. Recommendations included providing physician and pharmacist training, tracking interventions, and providing education. Program barriers included lack of time and/or personnel and antimicrobial stewardship and/or infectious diseases expertise.

Information

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 45 , Issue 1 , January 2024 , pp. 123 - 126
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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 poster was presented at the Society for Healthcare Epidemiology of America (SHEA) 2023 Spring Conference on April 12, 2023, in Seattle, Washington.

References

Critical-access hospitals. Centers for Medicare and Medicaid Services website. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/CAHs. Accessed August 2, 2022.Google Scholar
Implementation of antibiotic stewardship core elements at small and critical-access hospitals. Centers for Disease Control and Prevention website. https://www.cdc.gov/antibiotic-use/healthcare/pdfs/core-elements-small-critical.pdf. Published 2017. Accessed August 1, 2022.Google Scholar
Infection prevention and control and antibiotic stewardship program interpretive guidance update. Centers for Medicare and Medicaid Services website. https://www.cms.gov/files/document/qso-22-20-hospitals.pdf. Published 2022. Accessed September 16, 2022.Google Scholar
Srinivasan, A, Vargas, N. Implementation of antibiotic stewardship activities in critical access hospitals. https://www.lantanagroup.com/wp-content/uploads/2020/12/CDC-HRSA-Webinar-111820.pdf. Published 2020. Accessed March 14, 2023.Google Scholar
Nebraska Department of Health and Human Services. State of Nebraska Roster Hospitals. https://dhhs.ne.gov/licensure/Documents/Hospital%20Roster.pdf. Published 2022. Accessed December 12, 2022.Google Scholar
Iowa Department of Inspections and Appeals. Direct Care Worker Registry and Health Facility Database. https://dia-hfd.iowa.gov/. Accessed February 22, 2023.Google Scholar
Antibiotic resistance and patient safety portal. Centers for Disease Control and Prevention website. https://arpsp.cdc.gov/profile/geography. Accessed December 12, 2022.Google Scholar
New and reviewed requirements for antibiotic stewardship. The Joint Commission website. https://www.jointcommission.org/-/media/tjc/documents/standards/r3-reports/r3_antibioticstewardship_july2022_final.pdf. Published 2022. Accessed December 15, 2022.Google Scholar
Poteete, C, Scaletta, JM. Antimicrobial stewardship in Kansas: results from a statewide survey. Am J Infect Control 2017;45:42–45.CrossRefGoogle ScholarPubMed
Smith, LM, Ahern, JW. Establishing antibiotic stewardship programs in rural hospitals to decrease fluoroquinolone prescribing: the Vermont experience. Infect Prev Pract 2021;3:100121.CrossRefGoogle ScholarPubMed
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