Hostname: page-component-6766d58669-76mfw Total loading time: 0 Render date: 2026-05-19T21:33:56.383Z Has data issue: false hasContentIssue false
  • English
  • Français

Operationalizing an adverse event detection surveillance system to support antimicrobial stewardship activities: perceptions and insights from the SHEA research network

Published online by Cambridge University Press:  30 October 2024

Hawra J. Al Lawati Open the ORCID record for Hawra J. Al Lawati [Opens in a new window] ,
Kimberly L. Harvey Open the ORCID record for Kimberly L. Harvey [Opens in a new window] ,
Marlena Shin Open the ORCID record for Marlena Shin [Opens in a new window] ,
Hillary Mull Open the ORCID record for Hillary Mull [Opens in a new window] ,
Rebecca P. Lamkin Open the ORCID record for Rebecca P. Lamkin [Opens in a new window] ,
Samuel Golenbock Open the ORCID record for Samuel Golenbock [Opens in a new window] ,
Dipandita Basnet-Thapa ,
Judith M. Strymish Open the ORCID record for Judith M. Strymish [Opens in a new window] ,
Matthew Lee Open the ORCID record for Matthew Lee [Opens in a new window]  and
Howard Gold
...Show all authors
Hawra J. Al Lawati*
Affiliation:
Beth Israel Deaconess Medical Center, Boston, MA, USA
Kimberly L. Harvey
Affiliation:
Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA
Marlena Shin
Affiliation:
Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA
Hillary Mull
Affiliation:
Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA Department of Surgery, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA
Rebecca P. Lamkin
Affiliation:
Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA
Samuel Golenbock
Affiliation:
Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA
Dipandita Basnet-Thapa
Affiliation:
Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA
Judith M. Strymish
Affiliation:
Department of Medicine, Section of Infectious Diseases, VA Boston Healthcare System, Boston, MA, USA Harvard Medical School, Boston, MA, USA
Matthew Lee
Affiliation:
Beth Israel Deaconess Medical Center, Boston, MA, USA
Howard Gold
Affiliation:
Beth Israel Deaconess Medical Center, Boston, MA, USA
Matthew Bidwell Goetz
Affiliation:
Greater Los Angeles VA Healthcare System, Los Angeles, CA, USA University of California, Los Angeles School of Medicine, Los Angeles, CA, USA
Westyn Branch-Elliman
Affiliation:
Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA Department of Medicine, Section of Infectious Diseases, VA Boston Healthcare System, Boston, MA, USA Harvard Medical School, Boston, MA, USA
*
Corresponding author: Hawra J. Al Lawati; Email: hawra.jl@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

A surveillance system for measuring patient-level antimicrobial adverse drug events (ADE) may support stewardship activities, however, design and implementation questions remain. In this national survey, stewardship experts favored simple, laboratory-based ADE definitions although there were tensions between feasibility, ability to identify attribution without chart review, and importance of specific ADE.

Information

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 45 , Issue 12 , December 2024 , pp. 1468 - 1471
Check for updates
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Tamma, PD, Avdic, E, Li, DX, Dzintars, K, Cosgrove, SE. Association of adverse events with antibiotic use in hospitalized patients. JAMA Intern Med. 2017;177:1308–1315. doi: 10.1001/jamainternmed.2017.1938 CrossRefGoogle ScholarPubMed
Bumpass, JB, McDaneld, PM, DePestel, DD, et al. Outcomes and metrics for antimicrobial stewardship: survey of physicians and pharmacists. Clin Infect Dis 2014;59:S108–111. doi: 10.1093/cid/ciu545 CrossRefGoogle ScholarPubMed
Moehring, RW, Anderson, DJ, Cochran, RL, et al. Expert consensus on metrics to assess the impact of patient-level antimicrobial stewardship interventions in acute-care settings. Clin Infect Dis 2017;64:377–383. doi: 10.1093/cid/ciw787 CrossRefGoogle ScholarPubMed
SHEA Research Network website. https://shea-online.org/shea-research-network/. Accessed June 15, 2024.Google Scholar
Pandolfo, AM, Horne, R, Jani, Y, et al. Understanding decisions about antibiotic prescribing in ICU: an application of the Necessity Concerns Framework. BMJ Qual Saf 2022;31:199–210. doi: 10.1136/bmjqs-2020-012479 CrossRefGoogle ScholarPubMed
Krockow, EM, Colman, AM, Chattoe-Brown, E, et al. Balancing the risks to individual and society: a systematic review and synthesis of qualitative research on antibiotic prescribing behaviour in hospitals. J Hosp Infect 2019;101:428–439. doi: 10.1016/j.jhin.2018.08.007 CrossRefGoogle ScholarPubMed
Broom, JK, Broom, AF, Kirby, ER, Gibson, AF, Post, JJ. Clinical and social barriers to antimicrobial stewardship in pulmonary medicine: a qualitative study. Am J Infect Control 2017;45:911–916. doi: 10.1016/j.ajic.2017.03.003 CrossRefGoogle ScholarPubMed
Supplementary material: File

Al Lawati et al. supplementary material

Al Lawati et al. supplementary material
Download Al Lawati et al. supplementary material(File)
File 1.4 MB