作者
Christopher J Graber, Makoto M Jones, Peter A Glassman, Charlene Weir, Jorie Butler, Kevin Nechodom, Chad L Kay, Amy E Furman, Thuong T Tran, Christopher Foltz, Lori A Pollack, Matthew H Samore, Matthew Bidwell Goetz
发表日期
2015/12
期刊
Hospital pharmacy
卷号
50
期号
11
页码范围
1011-1024
出版商
SAGE Publications
简介
Background
Antibiotic time-outs can promote critical thinking and greater attention to reviewing indications for continuation.
Objective
We pilot tested an antibiotic time-out program at a tertiary care teaching hospital where vancomycin and piperacillin-tazobactam continuation past day 3 had previously required infectious diseases service approval.
Methods
The time-out program consisted of 3 components: (1) an electronic antimicrobial dashboard that aggregated infection-relevant clinical data; (2) a templated note in the electronic medical record that included a structured review of antibiotic indications and that provided automatic approval of continuation of therapy when indicated; and (3) an educational and social marketing campaign.
Results
In the first 6 months of program implementation, vancomycin was discontinued by day 5 in 93/145 (64%) courses where a time-out was performed on day 4 versus in 96/199 (48 …
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CJ Graber, MM Jones, PA Glassman, C Weir, J Butler… - Hospital pharmacy, 2015