2016
DOI: 10.3390/antibiotics5010005
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A Review of Quality Measures for Assessing the Impact of Antimicrobial Stewardship Programs in Hospitals

Abstract: The growing problem of antimicrobial resistance (AMR) has led to calls for antimicrobial stewardship programs (ASP) to control antibiotic use in healthcare settings. Key strategies include prospective audit with feedback and intervention, and formulary restriction and preauthorization. Education, guidelines, clinical pathways, de-escalation, and intravenous to oral conversion are also part of some programs. Impact and quality of ASP can be assessed using process or outcome measures. Outcome measures are catego… Show more

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Cited by 67 publications
(43 citation statements)
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“…A complete discussion of the types of quality measures available for ASPs is outside the scope of this review, but many excellent reviews are available [26,[38][39][40][41]. Measuring antibiotic consumption is the most common type of measure used by ASPs and is integral to identify opportunities for improvement, evaluate the impact of interventions, and participate in interhospital benchmarking [42].…”
Section: Measurement-data Collection and Analysismentioning
confidence: 99%
“…A complete discussion of the types of quality measures available for ASPs is outside the scope of this review, but many excellent reviews are available [26,[38][39][40][41]. Measuring antibiotic consumption is the most common type of measure used by ASPs and is integral to identify opportunities for improvement, evaluate the impact of interventions, and participate in interhospital benchmarking [42].…”
Section: Measurement-data Collection and Analysismentioning
confidence: 99%
“…Most of previous studies had included mortality, length of stay (LOS) and readmission rates as parameters of patient's outcome. 15 Meanwhile, the novel parameter in the present study was early evaluation of clinical conditions whether improved or not after 72 hours of the start of medications.…”
Section: Discussionmentioning
confidence: 99%
“…Although antibiotic resistance is a phenomenon that occurs during the natural developmental process, irrational antibiotic use can accelerate the emergence of antibiotic resistance. Education and clinical management in antibiotics use have become strong measures to control bacterial resistance globally through controlling and monitoring the prescription and pre-authorization of antibiotics use [14][15][16]. Causal analysis of irrational antibiotic use was performed by the Chinese government, and significant improvement has been made through specific rectification of antibiotic use.…”
Section: Discussionmentioning
confidence: 99%