Description
201 goal:
- Stop use of ceftaroline (Teflaro)
- Get data for this specifically
- Will look at provider level data
- Do more education
Project Resources
Bayou Bend 04-2024 ASB 201 Report
Core Elements
Education
Educating clinicians about resistance and optimal prescribing.
PDSA Cycles
Progress on PDSA Cycle 3
Review and update urine reflex policy
Brought up in a meeting to get input
- Open to idea of ordering less by lower threshold for reflex
- Not willing to stop reflex due to fear of missing diagnosis given older population
- Share link to pro con debate on urine reflex with providers
Progress on PDSA Cycle 1
Facility updates
- Went from 10% to 70% compliance for antibiotic stewardship
- Hospitalist not following order set, push back
- Antibiotic days of therapy have been coming down
- Have CPSI, very hard to pull data
- Reach out to IT to know how to get data for ceftaroline
- Ask hospitalists about joining sessions – TASP, ASB 201
- QI person plans to submit NHSN AU data
- Question for TASP: How do you obtain data? What data are you pulling? – trying to get data on antibiotic use, what are ideas
Goals from first check-in
1. Submit cases
– Figured out how to pull cultures and urinanalysis (volume higher)
– Will try to submit more cases
2. Ask hospitalists about joining sessions – TASP, ASB 201
– Hospitalist cannot join, quality person will try to join
3. How to get AUR data from EMR (asked during TASP)
– Asked during TASP
Your organization has completed the following PDSA cycles. Click a heading to view a cycle's details.
Lower Ceftaroline use
Figured out how to run report from CPSI
– Donney asking ER to not use ceftaroline, use order sets
Ceftaroline 20 doses a month to 8 doses a month this year
– Following order sets more now
Bring up to quality, hospitalist, infection prevention about improvements over time
– Tracking utilization of tools in place (share rate)
Next step: skin structure discussion – might share TASP pocketguide protocol