Evidence map›Paper›PMID 31775246›Full record

ArticlePharmacy (Basel, Switzerland)2019

Implementation of a Health-System Wide Antimicrobial Stewardship Program in Omaha, NE.

Jennifer Anthone, Dayla Boldt, Bryan Alexander, Cassara Carroll, Sumaya Ased, David Schmidt, Renuga Vivekanandan, Christopher J Destache

Open access · goldAbstract read
In one paragraph

Article in Pharmacy (Basel, Switzerland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Harnessing the Power of Health Systems and Networks for Antimicrobial Stewardship.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Jennifer AnthoneDepartment of Pharmacy Services, CHI Health, Omaha, NE 68124, USA.
Dayla BoldtDepartment of Pharmacy Services, CHI Health, Omaha, NE 68124, USA.
Bryan AlexanderDepartment of Pharmacy Services, CHI Health, Omaha, NE 68124, USA.
Cassara CarrollDepartment of Pharmacy Services, CHI Health, Omaha, NE 68124, USA.
Sumaya AsedDepartment of Pharmacy Services, CHI Health, Omaha, NE 68124, USA.
David SchmidtDepartment of Pharmacy Services, CHI Health, Omaha, NE 68124, USA.ORCID 0000-0002-1762-6232
Renuga VivekanandanDepartment of Pharmacy Services, CHI Health, Omaha, NE 68124, USA.ORCID 0000-0001-9427-9513
Christopher J DestacheSchool of Medicine, Creighton University, Omaha, NE 68178, USA.ORCID 0000-0001-7923-3939
CHI Health · USCreighton University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Centers for Medicare and Medicaid Services (CMS) have mandated that acute care and critical access hospitals implement an Antimicrobial Stewardship (AMS) Program. This manuscript describes the process that was implemented to ensure CMS compliance for AMS, across a 14-member health system (eight community hospitals, five critical access hospitals, and an academic medical center) in the Omaha metro area, and surrounding cities. The addition of the AMS program to the 14-member health system increased personnel, with a 0.5 full-time equivalent (FTE) infectious diseases (ID) physician, and 2.5 FTE infectious diseases trained clinical pharmacists to support daily AMS activities. Clinical decision support software had previously been implemented across the health system, which was also key to the success of the program. Overall, in its first year, the AMS program demonstrated a $1.2 million normalized reduction (21% total reduction in antimicrobial purchases) in antimicrobial expenses. The ability to review charts daily for antimicrobial optimization with ID pharmacist and physician support, identify facility specific needs and opportunities, and to collect available data endpoints to determine program effectiveness helped to ensure the success of the program.

Indexed as

antimicrobial stewardshiphealthcare systempharmacy service

Identifiers

PMID31775246
PMCPMC6958401
OpenAlexW2989612631

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.