HQIC Antibiotic Stewardship Workgroup- Clostridioides difficile Module

Prepared by IPRO QIN/QIO

Video interview with a nurse describing her own C.  difficile survival story. The story includes a first-person accounting of her yearlong hospitalization, the impact of antibiotic therapy, prevention of C. difficile and the long-term effects of this devastating antibiotic adverse event.

HQIC Antibiotic Stewardship Workgroup: Penicillin Allergy Module

Developed by the Network of Quality Improvement and Innovation Contractors for the Centers of Medicare and Medicaid Services Quality Improvement and Innovation Group – QIN/QIO HQIC

This resource contains two video conversations on how to develop and maintain a successful penicillin allergy program, and how to initiate and sustain an antibiotic allergy clarification program. Additional resources include CDC fact sheet, allergy poster, and Evaluation and Diagnosis of Penicillin Allergy for Healthcare Professionals documentation.

HQIC Webinar, November 4, 2021: Antibiotic Stewardship During A COVID Pandemic

This material was prepared by the IPRO NQIIC, a Network of Quality Improvement and Innovation Contractor, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (HHS)

This resources includes a recording and presentation slides from a November Webinar on Antibiotic Stewardship During the Covid Pandemic.

Antibiotic Stewardship (AS) is a national priority aimed at optimizing the use of antibiotics to effectively treat infections, protect patients from harms caused by unnecessary antibiotic use, and combat antibiotic resistance. Hospital AS Programs and teams have been challenged during the COVID pandemic to manage both viral and bacterial infections in patients for extended lengths of stay.

National Healthcare Safety Network (NHSN) Analysis Training videos

Centers for Disease Control and Prevention

This resource provides self paced training video’s and Quick Learn video’s on using the NHSN reporting application correctly

National Healthcare Safety Network (NHSN)Patient Safety Analysis Resource

Centers for Disease Control and Prevention

The NHSN application provides various options that allow NHSN users to analyze their surveillance data. The resources listed on the link above are intended to help you use the analysis tool, and interpret data analyzed from the Patient Safety Component of NHSN.

Implementing Antimicrobial Stewardship and C.difficile Prevention Toolkit

The Hospital and Healthsystem Association of Pennsylvania
Quality Initiatives Department Health Care Associated
Infection Prevention Managers
.

Antibiotics represent the greatest risk factor for the development of CDI. While appropriate for treatment of many infectious diseases, antibiotics are often overused and misused. Antibiotics disturb normal bowel flora and place the patient at risk of acquiring Clostridioides difficile colonization and/or infection. Antibiotic Stewardship Programs (ASP) have been shown to be an integral part of a CDI reduction program.

The purpose of this toolkit is help facilities incorporate evidence-based research into their practices and measure their effectiveness. Process and outcome measures will be collected and trended.

National Action Plan to Prevent Health Care-Associated Infections: Road Map to Elimination

Office of Disease Prevention and Health Promotion (ODPHP)

In recognition of health care-associated infections (HAIs) as an important public health and patient safety issue, the U.S. Department of Health and Human Services (HHS) convened the Federal Steering Committee for the Prevention of Health Care-Associated Infections (originally called the HHS Steering Committee, but was changed to reflect the addition of agencies outside of HHS). The Steering Committee’s charge is to coordinate and maximize the efficiency of prevention efforts across the federal government. Members of the Steering Committee include clinicians, scientists, and public health leaders representing:

STRIVE Infection Control Training

Centers for Disease Control (CDC)

The CDC/STRIVE curriculum was developed by national infection prevention experts led by the Health Research & Educational Trust (HRET) for CDC. Courses address both the technical and foundational elements of healthcare-associated infection (HAI) prevention. Courses can be taken in any order. Each course has 1 or more modules. Individual modules can be used for; new employee training, annual infection prevention training, and/or periodic training.

Core Elements of Human Antibiotic Stewardship Programs in Resource-Limited Settings

Centers for Disease Control (CDC)

This Core Elements is a guide for antibiotic stewardship program implementation in resource-limited settings that have fragile health systems and lack robust, regulatory frameworks. It builds off the Core Elements resources originally created for U.S. healthcare settings to outline structures and functions associated with effective programs. The guide contains practical, high-impact strategies based on both expert opinion as well as experiences in implementing antibiotic stewardship programs at the national and facility-levels to improve antibiotic use and fight antibiotic resistance. The guide provides a range of activities that a government or individual facility can implement based on the resources available.

Implementation of Antibiotic Stewardship Core Elements at Small and Critical Access Hospitals

Centers for Disease Control (CDC)

This document provides guidance on practical strategies to implement antibiotic stewardship programs in small and critical access hospitals. The suggestions provided are based on discussions with staff in small and critical access hospitals, several of which have implemented all of the CDC Core Elements.

Core Elements of Hospital Antibiotic Stewardship Programs

Centers for Disease Control (CDC)

Optimizing the use of antibiotics is critical to effectively treat infections, protect patients from harms caused by unnecessary antibiotic use, and combat antibiotic resistance. Antibiotic stewardship programs can help clinicians improve clinical outcomes and minimize harms by improving antibiotic prescribing. The Core Elements are intended to be an adaptable framework that hospitals can use to guide efforts to improve antibiotic prescribing. The assessment tool that accompanies this document can help hospitals identify gaps to address.

Laboratory Assessment – Targeted Assessment for Prevention (TAP) Facility Assessment Tool; Clostridium difficile Infection (CDI)

Centers for Disease Control (CDC)

The questions in this section are laboratory-specific and should be directed to the facility’s laboratory director or other staff that have knowledge of the
practices at the laboratory that performs the facility’s C. difficile testing.