Open AccessHarnessing the Power of Health Systems and Networks for Antimicrobial Stewardship
Author(s) -
Whitney R. Buckel,
Edward Stenehjem,
Adam L. Hersh,
David Y. Hyun,
Rachel M Zetts
Publication year - 2022
Publication title -
clinical infectious diseases/clinical infectious diseases (online. university of chicago. press)
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/ciac515
Subject(s) - antimicrobial stewardship , stewardship (theology) , psychological intervention , medicine , knowledge management , focus group , process management , public relations , business , environmental resource management , nursing , political science , computer science , marketing , environmental science , antibiotic resistance , politics , law , microbiology and biotechnology , biology , antibiotics
Twenty of 21 health systems and network-based antimicrobial stewardship programs (ASPs) who were invited participated in a questionnaire, a webinar, and focus groups to understand implementation strategies for system-wide antimicrobial stewardship. Four centralized ASPs structures emerged. Of participating organizations, 3 (15%) confirmed classification as collaborative, 3 (15%) as centrally coordinated, 3 (15%) as in between or in transition between centrally coordinated and centrally led, 8 (40%) as centrally led, 2 (10%) as collaborative, consultative network. One (5%) organization considered themselves to be a hybrid. System-level stewardship responsibilities varied across sites and generally fell into 6 major categories: building and leading a stewardship community, strategic planning and goal setting, development of validated data streams, leveraging tools and technology for stewardship interventions, provision of subject-matter expertise, and communication/education. Centralized ASPs included in this study most commonly took a centrally led approach and engaged in activities tailored to system-wide goals.