Background, Rationale and Suggested Implementation Strategies
- Educate providers, including hospitalists, internal medicine, family medicine, emergency medicine physicians, residents, advanced practice professionals (APPs), nursing staff about antibiotic resistance and appropriate antimicrobial prescribing.
- Educate patients and families about antibiotic resistance and appropriate antimicrobial prescribing.
- During educational sessions, highlight HMS data, showing opportunities for improvement.
- Communicate and promote institution-specific guidelines with front-line providers, including physicians, APPs, nursing, and pharmacy to ensure use of recommendations (morning report, grand rounds, medical staff meetings, division meetings).
- Integrate recommendations into key processes within the healthcare system such as into order sets, individual orders, discharge planning/processes, required yearly education for staff, etc.
- Build systems that can help modify provider behavior. Examples include (but are not limited to): clinical decision support tools and pharmacist review of antibiotic prescribing.
- After 3 months of guideline use, obtain provider feedback from multiple groups (including hospitalists, internal medicine, emergency department, etc.), and modify accordingly.
- Consider social factors in marketing guidelines to front-line providers. Highlight their participation in creation of the guidelines, and try to overcome viewpoints of loss of provider autonomy. Instead, emphasize improvement in quality and outcomes.
- Involve hospitalist champions in the education and dissemination process.
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