Description
We are trying to decrease unnecessary antimicrobial usage in ASB through pharmacist-led interventions
2019_Asymptomatic Bacteriuria
Core Elements
Accountability
Appointing a single leader responsible for program outcomes. Experience with successful programs show that a physician leader is effective.
Action
Appointing a single leader responsible for program outcomes. Experience with successful programs show that a physician leader is effective.
Education
Educating clinicians about resistance and optimal prescribing.
Reporting
Regular reporting information on antibiotic use and resistance to doctors, nurses and relevant staff.
Tracking
Monitoring antibiotic prescribing and resistance patterns.
PDSA Cycles
Progress on PDSA Cycle 1
Pharmacist-driven Post-ER-Discharge Program to decrease Antimicrobial Exposure in Asymptomatic Bacteriuria
Tracking Documents:
1. Deployed and created education in August/Sept 2021
- Powerpoint delivered in person to ER med staff meeting and medical staff in Sept.
- Created video training accessible online
- Reviewed data from June – Aug to get baseline 2021 data
- Performed intervention in Aug/Sept
- Post intervention analysis in Sept – Dec 2021
1. Provided feedback to providers from results of peer comparison (sample size: pre: 58 and post: 61. ASB treatment rate ~ 30%)
- 4 month post evaluation after education
- Provided individual provider feedback. Reviewed only treatment of ASB data.
2. Created 2021 powerpoint with pre and post intervention data based off 2019 powerpoint template
- Created graphic to staff on abx use pre and post to med staff
3. Evaluated antibiotics prescribed and given in the ER and also upon discharge for appropriate antibiotic and duration.
Finding: When providers get a positive bacteria in the urinalysis, feeling like the should prescribe something.
Next step: put template into EHR for urinalysis have to ask for reflex culture but add mechanism for symptoms/other indicator