Antibiotics

Innovations

Children's Hospital Employs Enterprise Data Warehouse To Support Multidisciplinary Improvement Teams, Leading to Higher Quality and Lower Costs 06/11/13

A children's hospital uses an enterprise data warehouse to assist multidisciplinary teams in identifying and addressing opportunities to improve quality, leading to better adherence to evidence-based guidelines, less unnecessary care, and significant cost savings.

Multihospital System Uses Proactive Screening, Algorithms, and Tools To Improve Sepsis Care, Leading to More Appropriate Care and Better Outcomes 05/29/12

A regional health system with 21 hospitals implemented a comprehensive sepsis care initiative featuring proactive screening in the emergency department, algorithms to guide evidence-based treatment, and tools to support the provision of appropriate care, leading to better diagnosis, more appropriate care, lower mortality rates, and more patients meeting clinical targets.

State Health Department Support Spurs Development of Many Antimicrobial Stewardship Programs After Passage of Legislative Mandate 05/18/12

The California Department of Health provides education and support to hospitals throughout the state, allowing many to create programs to address appropriate use of antimicrobials in response to State legislation.

Telemedicine-Based Antimicrobial Stewardship Program Improves Prescribing, Reduces Bacterial Resistance to Antibiotics at Rural Hospital 05/04/12

A rural hospital's telemedicine-based antimicrobial stewardship program provides ongoing education and daily case reviews related to use of antibiotics, leading to more appropriate prescribing and less bacterial resistance to the drugs.

Nine-Hospital Collaborative Uses Patient Screening Criteria, Fast-Track Diagnosis, and Treatment Protocols To Reduce Sepsis Mortality by Approximately 50 Percent 03/21/12

Hospitals participating in a collaborative used screening criteria, fast-track diagnostic testing, protocols to support the prompt initiation of treatment, and ongoing monitoring to reduce sepsis mortality by 54.5 percent.

Online Tutorial and Interactive Workshop Support Physicians in Employing Shared Decisionmaking With Patients, Reducing Antibiotic Use for Acute Respiratory Infections 08/24/11

An online tutorial and interactive workshop supported family physicians in engaging in shared decisionmaking with patients, reducing use of antibiotics for acute respiratory infections.

Emergency Department Protocol Leads to Faster Identification and Treatment of Pediatric Patients With Sepsis 04/10/11

A “shock” protocol involving computerized flagging of abnormal vital signs and initiation of treatment based on standardized order sets led to faster identification and treatment of children with suspected sepsis in the emergency department.

Formal Processes Ensure System-Wide Focus on Heart Attack, Heart Failure, Pneumonia, and Surgical Care, Improving Performance on Core Measures 12/13/10

A health system uses formal processes to track patients who meet core measure inclusion criteria, monitor gaps in care, investigate care variances, and share data and best practices, leading to a significant improvement in overall performance on the measures.

Multidisciplinary Team Redesigns Care Processes and Systems, Leading to Significantly Improved Performance on Core Measures in Four Clinical Areas 12/09/10

A hospital uses a multidisciplinary team, standing orders and reminder systems, manual medication reconciliation, and system-wide quality improvement to significantly improve performance on core measures for heart attack, heart failure, pneumonia, and surgical care.

Medicaid Managed Care Plan Provides Reports, Guidelines, and Education Materials to Physicians, Reducing Inappropriate Prescribing of Antibiotics to Children and Adolescents 03/10/10

As part of a collaborative, a California health plan provides quarterly provider performance reports, educational materials, and other support to physicians and parents, leading to a reduction in inappropriate prescribing of antibiotics to children, adolescents, and adults with an upper respiratory infection or acute bronchitis enrolled in the insurer's Medi-Cal managed care plan.

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