Sharing Antimicrobial Reports for Pediatric Stewardship (SHARPS): A Quality Improvement Collaborative.

Document Type

Article

Publication Date

5-15-2018

Identifier

DOI: 10.1093/jpids/pix020

Abstract

Background: Although many children's hospitals have established antimicrobial stewardship programs (ASPs), data-driven benchmarks for optimizing antimicrobial use across centers are lacking. We developed a multicenter quality improvement collaborative focused on sharing data reports and benchmarking antimicrobial use to improve antimicrobial prescribing among hospitalized children.

Methods: A national antimicrobial stewardship collaborative among children's hospitals, Sharing Antimicrobial Reports for Pediatric Stewardship (SHARPS), was established in 2013. Characteristics of the hospitals and their ASPs were obtained through a standardized survey. Antimicrobial-use data reports were developed on the basis of input from the participating hospitals. Collaborative learning opportunities were provided through monthly webinars and annual meetings.

Results: Since 2013, 36 US hospitals have participated in the SHARPS collaborative. The median full-time equivalent (pharmacist and physician) dedicated to 30 of these ASPs was 0.75 (interquartile range, 0.45-1.4). To date, the collaborative has developed 26 data reports that include benchmarking reports according to specific antimicrobial agents, indications, and clinical service lines. The collaborative has conducted 27 webinars and 3 in-person meetings to highlight the stewardship work being conducted in the hospitals. The data reports and learning opportunities have resulted in approximately 36 distinct stewardship interventions.

Conclusion: A pediatric antimicrobial stewardship collaborative has been successful in promoting the development of and innovation among pediatric ASPs. Additional research is needed to determine the impact of these efforts.

Journal Title

J Pediatric Infect Dis Soc

Volume

7

Issue

2

First Page

124

Last Page

128

MeSH Keywords

Anti-Bacterial Agents; Antimicrobial Stewardship; Benchmarking; Hospitals, Pediatric; Humans; Information Dissemination; Interinstitutional Relations; Prescription Drug Overuse; Quality Improvement; United States

Keywords

Anti-Bacterial Agents; Antimicrobial Stewardship; Benchmarking; Hospitals, Pediatric; Humans; Information Dissemination; Interinstitutional Relations; Prescription Drug Overuse; Quality Improvement; United States

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