scholarly journals Long-term outcomes of an electronic medical record (EMR)–integrated antimicrobial stewardship (AMS) intensive care unit (ICU) ward round

2021 ◽  
pp. 1-3
Author(s):  
Misha Devchand ◽  
Andrew Nolen ◽  
Andrew J. Stewardson ◽  
Stephen J. Warrillow ◽  
Kent Garrett ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Antimicrobial Stewardship ◽  
Ward Round ◽  
Long Term Outcomes

Outcomes of an electronic medical record (EMR)–driven intensive care unit (ICU)-antimicrobial stewardship (AMS) ward round: Assessing the “Five Moments of Antimicrobial Prescribing”

2019 ◽  
Vol 40 (10) ◽  
pp. 1170-1175 ◽  
Author(s):  
Misha Devchand ◽  
Andrew J. Stewardson ◽  
Karen F. Urbancic ◽  
Sharmila Khumra ◽  
Andrew A. Mahony ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Antimicrobial Stewardship ◽  
Point Prevalence ◽  
Additional Patient ◽  
Face To Face ◽  
Antimicrobial Prescribing ◽  
The Impact

AbstractObjective:The primary objective of this study was to examine the impact of an electronic medical record (EMR)–driven intensive care unit (ICU) antimicrobial stewardship (AMS) service on clinician compliance with face-to-face AMS recommendations. AMS recommendations were defined by an internally developed “5 Moments of Antimicrobial Prescribing” metric: (1) escalation, (2) de-escalation, (3) discontinuation, (4) switch, and (5) optimization. The secondary objectives included measuring the impact of this service on (1) antibiotic appropriateness, and (2) use of high-priority target antimicrobials.Methods:A prospective review was undertaken of the implementation and compliance with a new ICU-AMS service that utilized EMR data coupled with face-to-face recommendations. Additional patient data were collected when an AMS recommendation was made. The impact of the ICU-AMS round on antimicrobial appropriateness was evaluated using point-prevalence survey data.Results:For the 202 patients, 412 recommendations were made in accordance with the “5 Moments” metric. The most common recommendation made by the ICU-AMS team was moment 3 (discontinuation), which comprised 173 of 412 recommendations (42.0%), with an acceptance rate of 83.8% (145 of 173). Data collected for point-prevalence surveys showed an increase in prescribing appropriateness from 21 of 45 (46.7%) preintervention (October 2016) to 30 of 39 (76.9%) during the study period (September 2017).Conclusions:The integration of EMR with an ICU-AMS program allowed us to implement a new AMS service, which was associated with high clinician compliance with recommendations and improved antibiotic appropriateness. Our “5 Moments of Antimicrobial Prescribing” metric provides a framework for measuring AMS recommendation compliance.

Improving long-term outcomes after discharge from intensive care unit

2012 ◽  
Vol 40 (2) ◽  
pp. 502-509 ◽  
Author(s):  
Dale M. Needham ◽  
Judy Davidson ◽  
Henry Cohen ◽  
Ramona O. Hopkins ◽  
Craig Weinert ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Long Term Outcomes

scholarly journals Intensive care unit exposures for long-term outcomes research: Development and description of exposures for 150 patients with acute lung injury

2007 ◽  
Vol 22 (4) ◽  
pp. 275-284 ◽  
Author(s):  
Dale M. Needham ◽  
Weiwei Wang ◽  
Sanjay V. Desai ◽  
Pedro A. Mendez-Tellez ◽  
Cheryl R. Dennison ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Acute Lung Injury ◽  
Lung Injury ◽  
Outcomes Research ◽  
Research Development ◽  
Long Term Outcomes

scholarly journals Follow-up services for improving long-term outcomes in intensive care unit (ICU) survivors

2018 ◽  
Author(s):  
Oliver J Schofield-Robinson ◽  
Sharon R Lewis ◽  
Andrew F Smith ◽  
Joanne McPeake ◽  
Phil Alderson
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Long Term Outcomes
Sign in / Sign up

Export Citation Format

Share Document