The Experts below are selected from a list of 70083 Experts worldwide ranked by ideXlab platform
Anthony P Morreale - One of the best experts on this subject based on the ideXlab platform.
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a report of the efforts of the veterans health administration national antimicrobial Stewardship initiative
Infection Control and Hospital Epidemiology, 2017Co-Authors: Allison Kelly, Makoto Jones, Kelly Echevarria, Stephen M Kralovic, Matthew H Samore, Matthew Bidwell Goetz, Karl Madaraskelly, Loretta A Simbartl, Anthony P MorrealeAbstract:OBJECTIVE To detail the activities of the Veterans Health Administration (VHA) Antimicrobial Stewardship Initiative and evaluate outcomes of the program. DESIGN Observational analysis. SETTING The VHA is a large integrated healthcare system serving approximately 6 million individuals annually at more than 140 medical facilities. METHODS Utilization of nationally developed resources, proportional distribution of antibiotics, changes in Stewardship practices and patient safety measures were reported. In addition, inpatient antimicrobial use was evaluated before and after implementation of national Stewardship activities. RESULTS Nationally developed Stewardship resources were well utilized, and many Stewardship practices significantly increased, including development of written Stewardship policies at 92% of facilities by 2015 ( P P Clostridium difficile infection. CONCLUSIONS The VHA National Antimicrobial Stewardship Initiative includes continuing education, disease-specific guidelines, and development of example policies in addition to other highly utilized resources. While no specific ideal level of antimicrobial utilization has been established, the VHA has shown that improving antimicrobial usage in a large healthcare system may be achieved through national guidance and resources with local implementation of antimicrobial Stewardship programs. Infect Control Hosp Epidemiol 2017;38:513–520
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a report of the efforts of the veterans health administration national antimicrobial Stewardship initiative
Infection Control and Hospital Epidemiology, 2017Co-Authors: Allison Kelly, Makoto Jones, Kelly Echevarria, Stephen M Kralovic, Matthew H Samore, Matthew Bidwell Goetz, Karl Madaraskelly, Loretta A Simbartl, Anthony P MorrealeAbstract:OBJECTIVE To detail the activities of the Veterans Health Administration (VHA) Antimicrobial Stewardship Initiative and evaluate outcomes of the program. DESIGN Observational analysis. SETTING The VHA is a large integrated healthcare system serving approximately 6 million individuals annually at more than 140 medical facilities. METHODS Utilization of nationally developed resources, proportional distribution of antibiotics, changes in Stewardship practices and patient safety measures were reported. In addition, inpatient antimicrobial use was evaluated before and after implementation of national Stewardship activities. RESULTS Nationally developed Stewardship resources were well utilized, and many Stewardship practices significantly increased, including development of written Stewardship policies at 92% of facilities by 2015 (P<.05). While the proportional distribution of antibiotics did not change, inpatient antibiotic use significantly decreased after VHA Antimicrobial Stewardship Initiative activities began (P<.0001). A 12% decrease in antibiotic use was noted overall. The VHA has also noted significantly declining use of antimicrobials prescribed for resistant Gram-negative organisms, including carbapenems, as well as declining hospital readmission and mortality rates. Concurrently, the VHA reported decreasing rates of Clostridium difficile infection. CONCLUSIONS The VHA National Antimicrobial Stewardship Initiative includes continuing education, disease-specific guidelines, and development of example policies in addition to other highly utilized resources. While no specific ideal level of antimicrobial utilization has been established, the VHA has shown that improving antimicrobial usage in a large healthcare system may be achieved through national guidance and resources with local implementation of antimicrobial Stewardship programs. Infect Control Hosp Epidemiol 2017;38:513-520.
Kelly Echevarria - One of the best experts on this subject based on the ideXlab platform.
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a report of the efforts of the veterans health administration national antimicrobial Stewardship initiative
Infection Control and Hospital Epidemiology, 2017Co-Authors: Allison Kelly, Makoto Jones, Kelly Echevarria, Stephen M Kralovic, Matthew H Samore, Matthew Bidwell Goetz, Karl Madaraskelly, Loretta A Simbartl, Anthony P MorrealeAbstract:OBJECTIVE To detail the activities of the Veterans Health Administration (VHA) Antimicrobial Stewardship Initiative and evaluate outcomes of the program. DESIGN Observational analysis. SETTING The VHA is a large integrated healthcare system serving approximately 6 million individuals annually at more than 140 medical facilities. METHODS Utilization of nationally developed resources, proportional distribution of antibiotics, changes in Stewardship practices and patient safety measures were reported. In addition, inpatient antimicrobial use was evaluated before and after implementation of national Stewardship activities. RESULTS Nationally developed Stewardship resources were well utilized, and many Stewardship practices significantly increased, including development of written Stewardship policies at 92% of facilities by 2015 ( P P Clostridium difficile infection. CONCLUSIONS The VHA National Antimicrobial Stewardship Initiative includes continuing education, disease-specific guidelines, and development of example policies in addition to other highly utilized resources. While no specific ideal level of antimicrobial utilization has been established, the VHA has shown that improving antimicrobial usage in a large healthcare system may be achieved through national guidance and resources with local implementation of antimicrobial Stewardship programs. Infect Control Hosp Epidemiol 2017;38:513–520
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a report of the efforts of the veterans health administration national antimicrobial Stewardship initiative
Infection Control and Hospital Epidemiology, 2017Co-Authors: Allison Kelly, Makoto Jones, Kelly Echevarria, Stephen M Kralovic, Matthew H Samore, Matthew Bidwell Goetz, Karl Madaraskelly, Loretta A Simbartl, Anthony P MorrealeAbstract:OBJECTIVE To detail the activities of the Veterans Health Administration (VHA) Antimicrobial Stewardship Initiative and evaluate outcomes of the program. DESIGN Observational analysis. SETTING The VHA is a large integrated healthcare system serving approximately 6 million individuals annually at more than 140 medical facilities. METHODS Utilization of nationally developed resources, proportional distribution of antibiotics, changes in Stewardship practices and patient safety measures were reported. In addition, inpatient antimicrobial use was evaluated before and after implementation of national Stewardship activities. RESULTS Nationally developed Stewardship resources were well utilized, and many Stewardship practices significantly increased, including development of written Stewardship policies at 92% of facilities by 2015 (P<.05). While the proportional distribution of antibiotics did not change, inpatient antibiotic use significantly decreased after VHA Antimicrobial Stewardship Initiative activities began (P<.0001). A 12% decrease in antibiotic use was noted overall. The VHA has also noted significantly declining use of antimicrobials prescribed for resistant Gram-negative organisms, including carbapenems, as well as declining hospital readmission and mortality rates. Concurrently, the VHA reported decreasing rates of Clostridium difficile infection. CONCLUSIONS The VHA National Antimicrobial Stewardship Initiative includes continuing education, disease-specific guidelines, and development of example policies in addition to other highly utilized resources. While no specific ideal level of antimicrobial utilization has been established, the VHA has shown that improving antimicrobial usage in a large healthcare system may be achieved through national guidance and resources with local implementation of antimicrobial Stewardship programs. Infect Control Hosp Epidemiol 2017;38:513-520.
Payal K. Patel - One of the best experts on this subject based on the ideXlab platform.
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How Far We’ve Come, How Far We Have to Go: a Review of Advances in Antimicrobial Stewardship in the Veterans Health Administration
Current Treatment Options in Infectious Diseases, 2020Co-Authors: Aditi Ramakrishnan, Payal K. PatelAbstract:Purpose of review This review highlights several of the successes in antimicrobial Stewardship seen in the largest integrated healthcare system in the USA, the Veterans Health Administration. Recent findings Since deploying antimicrobial Stewardship programs on a national scale in the Veterans Health Administration, decreases in overall antimicrobial use and Clostridioides difficile infections have been observed. Concurrent infection prevention initiatives have also contributed to these improvements in the Veterans Health Administration. Summary By embracing multidisciplinary Stewardship teams, focusing on education and research in the field of antimicrobial Stewardship, and leveraging the vast data available within the national system, the Veterans Health Administration has made substantial advances in antimicrobial Stewardship.
Richard N. Olans - One of the best experts on this subject based on the ideXlab platform.
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the critical role of the staff nurse in antimicrobial Stewardship unrecognized but already there
Clinical Infectious Diseases, 2016Co-Authors: Richard N. Olans, Alfred DemariaAbstract:: An essential participant in antimicrobial Stewardship who has been unrecognized and underutilized is the "staff nurse." Although the role of staff nurses has not formally been recognized in guidelines for implementing and operating antimicrobial Stewardship programs (ASPs) or defined in the medical literature, they have always performed numerous functions that are integral to successful antimicrobial Stewardship. Nurses are antibiotic first responders, central communicators, coordinators of care, as well as 24-hour monitors of patient status, safety, and response to antibiotic therapy. An operational analysis of inpatient admissions evaluates these nursing Stewardship activities and analyzes the potential benefits of nurses' formal education about, and inclusion into, ASPs.
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The Critical Role of the Staff Nurse in Antimicrobial Stewardship—Unrecognized, but Already There
Clinical Infectious Diseases, 2015Co-Authors: Richard N. Olans, Alfred DemariaAbstract:: An essential participant in antimicrobial Stewardship who has been unrecognized and underutilized is the "staff nurse." Although the role of staff nurses has not formally been recognized in guidelines for implementing and operating antimicrobial Stewardship programs (ASPs) or defined in the medical literature, they have always performed numerous functions that are integral to successful antimicrobial Stewardship. Nurses are antibiotic first responders, central communicators, coordinators of care, as well as 24-hour monitors of patient status, safety, and response to antibiotic therapy. An operational analysis of inpatient admissions evaluates these nursing Stewardship activities and analyzes the potential benefits of nurses' formal education about, and inclusion into, ASPs.
John B. Lynch - One of the best experts on this subject based on the ideXlab platform.
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Tele-antimicrobial Stewardship in Action
Current Treatment Options in Infectious Diseases, 2018Co-Authors: Paul S. Pottinger, Theodore C. Wright, Natalia Martinez-paz, Zahra Kassamali, John D. Scott, John B. LynchAbstract:Purpose of review Summarize the latest literature and our own clinical experience in the emerging technique of tele-antimicrobial Stewardship, and provide practical advice for those considering providing or consuming this service. Recent findings The need for tele-antimicrobial Stewardship is high and rising. Although the benefits of antimicrobial Stewardship are well documented, tele-antimicrobial Stewardship is a recent advance, and there is a relative lack of peer-reviewed clinical trials substantiating the impact of telehealth techniques in antimicrobial Stewardship. Summary Antimicrobial Stewardship is more important today than ever. In some cases, it may not be possible for smaller hospitals to provide comprehensive Stewardship services on-site without assistance. However, tele-antimicrobial Stewardship partnerships with other centers online may alleviate this burden and improve patient outcomes.
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Tele-antimicrobial Stewardship in Action
Current Treatment Options in Infectious Diseases, 2018Co-Authors: Paul S. Pottinger, Theodore C. Wright, Zahra Kassamali, John D. Scott, Natalia Martinez-paz, John B. LynchAbstract:Summarize the latest literature and our own clinical experience in the emerging technique of tele-antimicrobial Stewardship, and provide practical advice for those considering providing or consuming this service. The need for tele-antimicrobial Stewardship is high and rising. Although the benefits of antimicrobial Stewardship are well documented, tele-antimicrobial Stewardship is a recent advance, and there is a relative lack of peer-reviewed clinical trials substantiating the impact of telehealth techniques in antimicrobial Stewardship. Antimicrobial Stewardship is more important today than ever. In some cases, it may not be possible for smaller hospitals to provide comprehensive Stewardship services on-site without assistance. However, tele-antimicrobial Stewardship partnerships with other centers online may alleviate this burden and improve patient outcomes.
