Identifying and Bridging the Gaps in Antimicrobial Stewardship in Post-Acute and Long-Term Care.
J Gerontol Nurs
; 46(1): 8-13, 2020 Jan 01.
Article
em En
| MEDLINE
| ID: mdl-31895956
ABSTRACT
National organizations have developed guidelines and tools for antimicrobial stewardship (AMS) in post-acute and long-term care (PALTC), but there is a need to effectively translate these into actionable, measurable, and impactful programs. An electronic needs assessment survey was developed and distributed to health care providers and administrators involved with AMS activities in PALTC facilities in Maryland. The results of this survey were used to develop a statewide initiative to improve AMS in nursing facilities. The survey revealed that barriers to implementing AMS include limited access or poor utilization of experts in AMS and infectious disease, adverse event data collection tools, and locally developed protocols and guidelines. Strategies to improve AMS included the provision of free continuing education to a multidisciplinary audience and improved access to individuals with expertise in infectious disease and the development of an adverse drug event tool. Continuing to provide meaningful tools and resources that address the specific needs of nursing facilities should lead to improved compliance with regulations and ultimately improved resident outcomes. [Journal of Gerontological Nursing, 46(1), 8-13.].
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Controle de Doenças Transmissíveis
/
Doenças Transmissíveis
/
Assistência de Longa Duração
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Guias de Prática Clínica como Assunto
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Cuidados Semi-Intensivos
/
Gestão de Antimicrobianos
/
Antibacterianos
Tipo de estudo:
Guideline
/
Prognostic_studies
/
Qualitative_research
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Gerontol Nurs
Ano de publicação:
2020
Tipo de documento:
Article