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Integrating stakeholders in the development of an Antibiotic Stewardship Program

Ewering, S. (2011) Integrating stakeholders in the development of an Antibiotic Stewardship Program.

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Abstract:Purpose: Inappropriate use of antibiotics can cause antibiotic resistance and infections. One way to tackle this problem is an Antibiotic Stewardship Programs (ASPs). Within EurSafety Health-Net, an organization aiming at enhancing patient's safety and reducing Healthcare Associated Infections (HCAI), an Antibiotic Stewardship Program based on a holistic approach is developed. This study gives an overview of effective ASPs, the current problems around antibiotics and evaluates the constellation of stakeholders involved during the development and implementation-phase of an ASP. Method: A literature quickscan was performed in Scopus, Web of Science, ScienceDirect, PsycINFO, Medline and Google Scholar between March and May 2011. Additional articles were obtained by snowball-method. Studies had to be aim at the improvement of antibiotic usage, to be included. In addition a focus group in combination with a stakeholder meeting with the healthcare professionals of a pulmonary ward was conducted. A nurse, two lung physicians, a lung assistant physician, an internal assistant physician, a pharmacist, a manager, a administration assistant, a nurse manager and a consultant clinical microbiology took part. Results: In the quickscan twelve studies were identified and analyzed. ASP strategies like education and guideline, review and feedback, formulary and restriction or a combination of computer assistance and education and guideline, computer assistance and formulary and restriction, computer assistance and review and feedback, formulary and restriction and review and feedback were proven to be effective. Positive study outcomes were improved behavioral, medical and organization outcomes. In the workshop information about the organizational context, including the stakeholders and their tasks, the information and communication processes, and difficulties on the ward were gained. Conclusion: Antibiotic Stewardship Programs consisting of a single strategy or a bundle of strategies are an effective way to improve antibiotic usage, enhance patient’s safety and cost savings. The current problems with antibiotics refer to knowledge, information, communication, resources, responsibility and commitment. Stakeholders are integrated in the antibiotic prescribing process both in the back- and foreground. Integrating stakeholders creates added value to the development of an Antibiotic Stewardship Program. Their suggestions, to uniform the system, availability, education and defining responsibilities, could be combined in an Antibiotic Stewardship Program to address the problems around antibiotics
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
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