Antibiotic resistance is a patient safety issue.
Antibiotic stewardship consists of a set of clinical behaviors that reduce the development of multi-resistant organisms, reduce the risk of clostridia difficile enteritis, and reduce the antibiotic cost of care, without compromising clinical outcomes of antibiotic therapy.
These behaviors include:
- Using antibiotics only for substantiated clinical indications.
- Using the narrowest spectrum antibiotic appropriate to the clinical indication.
- Switching to a targeted-spectrum antibiotic when the results are known from culture, PCR, or other molecular microbiology testing.
- Administering evidence-based surgical antibiotic prophylaxis, and not extending prophylaxis without a documented appropriate clinical indication.
- Switching from IV to oral antibiotics as soon as clinically appropriate.
- Using surveillance systems, like VigiLanz currently in use at St. Mark’s, for real-time detection of “drug/bug” mismatches.
- Patient Safety Director Appointed
- End-Tidal CO2 for PCA Monitoring
- Oxygen Weaning Protocol
- Adding MSSA Pre-Operative Screening
- Remarkable Handwashing Training
- Assault on Central Line Infections
- Reducing Catheter-Associated UTI
- War on Clostridia Difficile
- We Need Your Help to Prevent Infection
- Antibiotic Stewardship
- BioFire Respiratory Panel Available
- From the Medical Executive Committee
- PICC Line / Mid-Line Team
- Voices Heard / Improvements Made
- Advanced Practice Professionals in OR
- VTE Reduction in Hip & Knee Program
- New Medical Staff Appointments
- Retirements / Resignations