Adapted materials from AHRQ and CDC to promote stewardship and guide conversations between onsite nurses and offsite prescribers. Materials include training modules for nurses, an observation protocol for residents without localizing symptoms.
Engagement + Training
Step-by-step protocol for systematic implementation, communication, and training.
Scale-able presentations for download that correspond to pre-recorded videos.
Data Capture
Step-by-step instructions on REDCap data submissions including details on lab results, antibiotics, and symptoms.
An optional external tracking sheet to maintain patient confidentiality.
A secure web platform for building and managing online databases and surveys that can be tailored to virtually any data collection strategy.
For facilities seeking to track prescribing via an alternative method, we offer an Excel file designed to evaluate antibiotic appropriateness.
Our intervention uses a systematic approach to reduce antimicrobial prescribing. Our protocol is constructed into four key phases: enrollment, data orientation, clinical staff training, and data feedback loops. During enrollment, coordinators or SNF staff lead efforts to promote study engagement and educate on ASP requirements. During Orientation, the SNF is instructed on monthly data upload procedures using the Research Electronic Data Capture (REDCap) software. Clinical Staff Training and Data Feedback Loops are conducted in parallel.
Data are collected on facility-wide metrics including C. Difficile orders, ESBL producing isolates, and resident-specific features including culture results, antibiotics issued, and clinical symptoms. Autogenerated reports are distributed back to facilities to provide feedback on prescribing trends. Read the steps below to learn more about the training and quality improvement sequence:
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