Table 1.

Clostridioides difficile Infection (CDI) Targeted Assessment for Prevention (TAP) Facility Assessment Frequency of Responses From Select Questions^a, Healthcare System TAP Strategy Implementation for CDI Prevention

Question	% Never	% Rarely	% Sometimes	% Often	% Always	% Unknown
Early Detection and Isolation, Appropriate Testing
Are patients with diarrhea of other known causes tested for CDI?	1	5	24	27	19	24
Are patients without diarrhea tested for CDI?	18	33	20	3	2	25
Are patients tested for CDI cure?	10	8	12	9	7	54
Does your facility allow nurses to order C. difficile testing on patients with suspected CDI without a physician order (eg, through a nurse-driven protocol or standing order)?	21	4	4	11	20	41
Antibiotic Stewardship
Do ordering providers document in the medical record or during order entry a dose, duration, and indication for all antimicrobials at your facility?	0	2	9	24	31	35
In your facility, is it routine practice for specified antimicrobial agents to be approved by a physician or pharmacist at or soon after prescription (eg, preauthorization)?	1	2	3	17	36	42
Does your facility have a formal procedure for all ordering providers to review the appropriateness of all antibiotics at or after 48 h from the initial orders (eg, antibiotic time-out, postprescription review)?	1	2	3	12	30	52
Does your facility review current antibiotics for appropriateness in patients with new or recent CDI diagnosis?	0	1	4	15	36	43
Does your facility monitor antibiotic use (consumption) at the unit and/or facility level?	0	1	4	14	37	43

^aSelect questions identified based on the following response frequency thresholds: >33% ‘Unknown’ or > 50% unfavorable responses (ie, sum of ‘Never,’ ‘Rarely,’ ‘Sometimes,’ and ‘Unknown’ or sum of ‘Sometimes,’ ‘Often,’ ‘Always,’ and ‘Unknown’ based on question directionality).