Development of an antimicrobial stewardship intervention using a model of actionable feedback.

We describe the development of an audit and feedback intervention to improve antibiotic prescribing in the neonatal intensive care unit (NICU) using a theoretical framework. Participants included attending physicians, neonatal fellows, pediatric residents, and nurse practitioners. The intervention was based on the "model of actionable feedback" which emphasizes that feedback should be timely, individualized, nonpunitive, and customized to be effective. We found that real-time feedback could not be provided for the parameters established in this study, as we had to collect and analyze numerous data elements to assess appropriate initiation and continuation of antibiotics and required longer intervals to examine trends in antibiotic use. We learned during focus groups that NICU clinicians strongly resisted assigning individual responsibility for antibiotic prescribing as they viewed this as a shared responsibility informed by each patient's laboratory data and clinical course. We were able to create a non-punitive atmosphere thanks to written informed consent from NICU attendings and assurance from leadership that prescribing practices would not be used to assess job performance. We provided customized, meaningful feedback integrating input from the participants. Adapting the principles of the "model of actionable feedback" to provide feedback for antimicrobial prescribing practices proved challenging in the NICU setting. PMID: 22500166 [PubMed]
Source: Interdisciplinary Perspectives on Infectious Diseases - Category: Infectious Diseases Tags: Interdiscip Perspect Infect Dis Source Type: research

Related Links:

Source: BMJ Comments - Category: General Medicine Source Type: forums
Source: BMJ Comments - Category: General Medicine Source Type: forums
"This is the closest we're ever going to get to a linkage between what people are eating or drinking and the health of their liver," said the study's senior author.Medscape Medical News
Source: Medscape Gastroenterology Headlines - Category: Gastroenterology Tags: Gastroenterology News Source Type: news
The Red Sox are in a win-or-go-home situation on Friday in Houston. Follow along all night with commentary from Globe reporters.
Source: Reuters: Health - Category: Consumer Health News Source Type: news
Problems with executive function and recall are appearing even in younger cohorts. Effects will have significant repercussions on quality of life, work productivity, and healthcare costs, experts warn.Medscape Medical News
Source: Medscape Pharmacist Headlines - Category: Drugs & Pharmacology Tags: Infectious Diseases News Source Type: news
REF/Catalogue Number GSX0030A, GORE CARDIOFORM SEPTAL OCCLUDER 30 mm Diameter, Catheter Working Length 75 cm, Delivery Profile 10 Fr, STERILE EO, Rx Only, UDI: 00733132631032
Source: Medical Device Recalls - Category: Medical Devices Source Type: alerts
Pneupac paraPac plus 300 ventilator kit, REF P300NGB
Source: Medical Device Recalls - Category: Medical Devices Source Type: alerts
RAPTAR Laser Range Finders
Source: Medical Device Recalls - Category: Medical Devices Source Type: alerts
C315-HIS Delivery Catheter
Source: Medical Device Recalls - Category: Medical Devices Source Type: alerts
Series Type : Expression profiling by RT-PCROrganism : Homo sapiensThis SuperSeries is composed of the SubSeries listed below.
Source: GEO: Gene Expression Omnibus - Category: Genetics & Stem Cells Tags: Expression profiling by RT-PCR Homo sapiens Source Type: research
More News: Infectious Diseases | Intensive Care | Laboratory Medicine | Nurses | Nursing | Pediatrics | Perinatology & Neonatology | Study