A Team Approach at MRMC Kimberly E. Knox, RN, MHA, CIC.
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Transcript of A Team Approach at MRMC Kimberly E. Knox, RN, MHA, CIC.
A Team Approach at MRMCKimberly E. Knox, RN, MHA, CIC
Focus of Presentation
Describing the efforts that one medical center made in establishing an antimicrobial stewardship program.
The Multidisciplinary TeamSue Otocki, Director of Pharmacy
Paula Flynn, Staff Pharmacist
Jen Schelin, Staff Pharmacist
Pharmacy studentsMaureen Harris, Microbiology Supervisor
Michael Newstein, MD, PhD, Infectious Disease Specialist
Erin Grenier, IPKim Knox, IP
The Team Implemented:Front end restrictionBack end restriction Retrospective review of drug orders
Formulary restrictionsAutomatic stop orders
The Team Implemented:ID consult requiredVerbal approvalIV to PO switchMonthly review of the following antimicrobials
per 1000 patient days at P&T and IP&C Committees:CiproInvanzLevaquinZosyn
Infectious Disease Specialist Attends Department of Medicine and
Surgery meetings to share information about:Antimicrobial stewardshipProton pump inhibitor use
Posts on the MRMC Intranet:Common Infectious Diseases and
Empiric Antibiotic Recommendations for Adult ER and Inpatients
Antibiogram
Proton Pump Inhibitor (PPI) Reduction
Recent FDA black box warning indicates that the use of PPI can increase an individual’s risk of acquiring CDI
What we are doing:Recommendations for discontinuing therapy
before or at the time of dischargeWorking with partnering SNFs to foster
appropriate PPI use for their residentsRecent review shows a reduction in patients
being discharged from MRMC on PPIsInformation was highlighted in the April 2012
Pharmacy Newsletter
C DIFF Reduction Partnership CollaborativeInformation is shared with our
community SNF by partners at monthly meetings including:Appropriate use of medicationCleaning techniquesNew technology or productsEducation for EOC staff
SCIPMRMC follows recommendations for SCIP antimicrobial prophylaxis for surgical procedures
IS, Nursing Informatics, Surgeons, Infectious Disease and IP&C worked together in developing CPOE to be compatible with our goals
May 2012MRMC Antibiotic Stewardship
pharmacists wonAmerinet Healthcare
Achievement Award for Financial and Operational
Improvement
Amerinet Healthcare Achievement Award
Amerinet Healthcare Achievement Award
The program that was implemented to decrease Zosyn usage
In one year, the program decreased our costs and usage
approximately sixty percent!
To highlight the importance of:•Implementing a multidisciplinary team in establishing an antimicrobial stewardship program•Developing multipronged communication efforts for distributing information