Table 1.
Examples of Areas for Potential Improvement Identified by Stewards and Interventions Considered or Developed
Area for Improvement | Intervention |
---|---|
High utilization of anti-methicillin-resistant Staphylococcus aureus and antipseudomonal agents at Choice | Introduction of serial procalcitonin testing for patients with suspected sepsis or lower respiratory tract infection |
Timeout program to encourage deescalation | |
High fluoroquinolone utilization | Creation and evaluation of treatment pathways and order sets that deemphasize fluoroquinolone use |
Creation of urinary antibiogram to assist in selection of nonfluoroquinolone options | |
Antipseudomonal agent utilization in SSTI | Pilot program in which providers who use antipseudomonal agents for SSTI are emailed reminders as to the proper indications for their use in SSTI |
Excessive duration of therapy | Development of syndrome-specific treatment pathways |
Abbreviation: SSTI, skin/soft tissue infection.