Antimicrobial Stewardship, Resistance and Emerging Pathogens
Concurrent Education Session - 60 minutes
.jpg "Elizabeth Monsees, PhD, MBA, RN, CIC, FAPIC photo")
Elizabeth Monsees, PhD, MBA, RN, CIC, FAPIC
Antibiotic Stewardship Program Manager
Children’s Mercy Hospital
Kansas City, MO
Nothing to disclose
Valerie Vaughn, MD, MSc
Assistant Professor of Medicine and Hospitalist Investigator
University of Michigan and Ann Arbor VA, UT
Nothing to disclose
Angela Vassallo, MPH, MS, CIC, FAPIC
Infection Prevention Expert
Health Services Advisory Group, Inc.
Los Angeles, California
Antibiotic overuse at discharge is an overlooked source of patient harm. In this session, we will discuss the types and magnitude of antibiotic overuse at discharge as well as barriers and challenges to implementing stewardship at transitions of care. Finally, Dr. Vaughn will introduce ROAD (Reduce Overuse of Antibiotics at Discharge) Home a novel diagnostic and antibiotic timeout checklist to improve antibiotic prescribing at transitions in care.
Nurses are uniquely positioned to deploy antimicrobial stewardship efforts across the health care continuum. Despite demands to enlist nurses as antimicrobial stewards, there is a paucity of research on nurse-driven practices that support the stewardship process, and measures demonstrating nursing’s contribution to minimize antimicrobial misuse are lacking. An investigator-developed “antibiotic engagement tool” (AET) was designed by multispecialty nurses to overcome challenges associated with information exchange between disciplines, services, and facilities in regards to antimicrobial use. This presentation will highlight previous research that led to the development of the AET and review plans for implementation and testing feasibility at two sites: an academic pediatric and adult community hospitals.