Understanding changes in the standardized antimicrobial administration ratio for total antimicrobial use after implementation of prospective audit and feedback

Abstract

In this single-center study, the standardized antimicrobial administration ratio (SAAR) for total antimicrobial use decreased in response to a stewardship intervention. Antimicrobial prescribing and clinical outcomes were stable or improved during the period of lower SAARs. Our findings suggest that SAAR values of ~0.8 can be safely achieved.

Application of Standardized Antimicrobial Administration Ratio as a Motivational Tool within a Multi-Hospital Healthcare System

“…Encouraging healthy competition between multiple hospitals within a large healthcare system seemed to enhance the implementation of existing multi-faceted ASP interventions based primarily on local data. These findings support existing literature demonstrating the value of the SAAR as an antimicrobial stewardship metric for the identification of trends in antimicrobial use and opportunities for improvement [9,[13][14][15][16].…”

“…The value of antimicrobial use participation for ASPs has been previously demonstrated [11][12][13][14][15][16]. The present literature describes the utility of the SAAR as an identifier of outlier patient care areas and antimicrobial categories requiring additional ASP support and as a metric to measure the impact of targeted interventions [11][12][13][14].…”

Antibiotic prescribing in mental health units across the Veterans’ Health Administration: How much and how appropriate?

“…1-7). 2,3 The primary review was performed by a postgraduate year 1 pharmacy resident (J.T.). An infectious disease (ID)-trained clinician (D.L.…”