6/13/24 Check-in:

Reviewing data report

• When culture results, call and stop antibiotics if no symptoms
  • Instead getting more fluids, trying other things
  • Some having infusions – have to get urine, get sent to culture, come back
• Diagnostic stewardship interventions are higher yield
• Will try to submit more data and moved presentation to August

Intervention ideas:

• Education on ASB for staff
  • Who do you think we can not send urine cultures for?
• Pairing education with dissemenation of data report
  • Meetings with nursing staff
  • Providers at med staff

Are Mcgreer criteria still being used?

• Monitoring any infections with these criteria

First check-in – 1/25/24:

• Brought on physician Lane as IP
  • Lane had to transition away from IP
  • Jayd and Stephanie working on IP
• Have data (pharmacist helps collect)
  • Getting ready to report to NHSN
  • Don’t have someone to go through data
• Not many in-house infections
  • From data, recurrent infections in same patients
  • Usually because of behavior change
• Biggest barrier: no one with time to review data
• Previously, TASP talk on UTI in elderly
  • Used some of the information to make changes
• Mostly collecting form swing bed, now have data from ED
  • 20-25 urines for whole hospital in Oct

Data collection

• Pharmacist – only on site 2x/week
  • Could ask to assist with data collection to enter 1-2 cases per week
• Consider PDSA cycle for data collection
  • Had a plan, got report, couldn’t enter data, need to pivot
• Data collection SMART goal: Enter 1-2 cases per week