Table 3.

Site Elements Questionnaire

Item	Site 1	Site 2	Site 3	Site 4	%
Does your facility have a well-functioning antimicrobial stewardship program?	√	-	√	√	75
Does your facility have an infectious-disease trained physician?	√	√	√	√	100
Do you have full-time infection control practitioner in your facility?	√	√	√	√	100
Does your facility have a pharmacist trained in antimicrobial stewardship?	√	√	√	√	100
Does your facility produce and distribute an antibiogram that reports bacterial resistance profiles?	√	√	√	√	100
Do you have a committed physician champion for antimicrobial stewardship?	√	-	√	√	75
Physician FTE devoted to antibiotic stewardship	0.5	0.5	0.25	0.25	NA
Do you have a committed pharmacy champion for antimicrobial stewardship?	√	√	√	√	100
Pharmacist FTE devoted to antibiotic stewardship	1.0	1.0	0.5	1.0	NA
Have physicians fully embraced antimicrobial stewardship?	√	√	√	√	100
Has senior leadership fully supported antimicrobial stewardship?		√		√	50
Does your facility have any restricted antimicrobial agents, for which approval is required before prescription?	√	√	√	√	100
Do any of the pharmacists at your facility provide advice to providers about antimicrobial choice?	√		√	√	75
If yes, in which units:  • ICU  • Acute Care  • Community living centers	√ √ √		√ √ √	√ √ √	75 75 75
Does your facility offer any computer-based decision support about choosing antimicrobials?		√	√		50
The following questions relate to screening for and treatment of asymptomatic bacteriuria (ASB). Have you observed any of the following common drivers of inappropriate treatment of ASB?
• Nurses request urine culture or antimicrobials to treat urine	√	√	√		75
• Physicians believe asymptomatic bacteriuria should be treated	√	√	√	√	100
• Patient and/or family request urine culture or antimicrobials for a patient with ASB	√	√	√		75
• Urine cultures are performed in the emergency department without an appropriate indication	√	√	√	√	100

Note. FTE, full time equivalent; ICU, intensive care unit.