Description
TBD
Project Resources
Core Elements
Education
Educating clinicians about resistance and optimal prescribing.
PDSA Cycles
Progress on PDSA Cycle 4
Disemination of ASB report
Cheryl will make a write-up and include report at 3/14 Medstaff meeting
- Hospitalists, ER docs, and clinic providers attend
- Send to providers and recorder for meeting
Congratulate providers on antibiotic selection – great improvement from 201!
- Share area of improvement – days of therapy
Progress on PDSA Cycle 3
CAP: Collect data and wait for new IDSA guidelines
Compare local data to guidelines and share with Medstaff
Progress on PDSA Cycle 2
Clinic UTI intervention: separate from ASB 301 data entry
- Looking at approach to dips
- First outpatient stewardship
- Look at choice of antibiotic, duration of therapy, FQ rationale
- Collected data
- Created graphs looking at antibiotic choice and duration
- Many providers using Cipro
- Look at providers using Cipro – look at allergies and sensitivity
- Attend March meeting with clinic providers
Progress on PDSA Cycle 1
1/18/24 Meeting – Karleen, Cheryl, Kimberly:
- Starting a stewardship project in clinics around UTIs – choice of abx and duration of therapy
- Pulling data from labcorp results
- Kimberly will be doing chart review
- Collecting info in spreadsheet
- Doing urine dips
- Dip prompts urinalysis
- Dip positive, no micro, culture no growth
- Dip positive, no micro or culture
- Considering taking out dip since dip can be positive and no growth on culture
- Revamp work flows and diagnosis
- Will be doing presentation to providers in clinics – continue through year
- Karleen shared spreadsheet for tracking
- focusing on first line and second line therapy from TASP handbook
- Getting real-time data back to providers
- Finish entering clinic data in Dec and report back to providers in Feb
- Karleen finishing entering ER cases into Redcap
- Using admits to ED and hospital and diagnosis to find data to enter
- CAP – focusing on duration of abx (presenting when guidelines are released)
- Pneumonia focus – education, collecting data and sharing it back
Present CAP education at (quarterly) P&T –
Cheryl will share the May report at ED committee/Quality/Acute Care (June)
ASB/UTI in clinics
Collecting data independently of all clinics (also from Labcorp)
Cheryl going to meet with clinic providers to share background on the project (June 3rd Wed of month)
Inquiries about prescribing practices/antibiotic selection and duration
Will share UTI guidelines and address discrepant choices from guideline recommendations (UW-CSiM)
Limitation – finding the prescription data in the chart