The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.
Development of an antimicrobial stewardship program in an integrated healthcare system
Abstract
PURPOSE: The development of an inpatient antimicrobial stewardship program (ASP) in an integrated healthcare system is described. SUMMARY: With increasing national focus on reducing inappropriate antimicrobial use, state and national regulatory mandates require hospitals to develop ASPs. In 2015, BJC HealthCare, a multihospital health system, developed a system-level, multidisciplinary ASP team to assist member hospitals with ASP implementation. A comprehensive gap analysis was performed to assess current stewardship resources, activities and compliance with CDC core elements at each facility. BJC system clinical leads facilitated the development of hospital-specific leadership support statements, identification of hospital pharmacy and medical leaders, and led development of staff and patient educational components. An antimicrobial-use data dashboard was created for reporting and tracking the impact of improvement activities. Hospital-level interventions were individualized based on the needs and resources at each facility. Hospital learnings were shared at bimonthly system ASP meetings to disseminate best practices. The initial gap analysis revealed that BJC hospitals were compliant in a median of 6 ASP elements (range, 4-8) required by regulatory mandates. By leveraging system resources, all hospitals were fully compliant with regulatory requirements by January 2017. CONCLUSION: BJC's ASP model facilitated the development of broad-based stewardship activities, including education modules for patients and providers and clinical decision support, while allowing hospitals to implement activities based on local needs and resource availability.
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“While the composition of the IPC and AMS teams varies across different settings, emerging studies from LMICs support multidisciplinary AMS teams in general, as well as being specific to paediatric departments.5,28,30–33”
From Rationalizing irrational prescribing—infection-related attitudes and practices across paediatric surgery specialties in a hospital in South India (2024) · cites this paper as [31]
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Leveraging Health Systems to Expand and Enhance Antibiotic Stewardship in Outpatient Settings
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Improving Antibiotic Stewardship in a Pediatric Long-term Care Facility
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Desafios dos programas de gerenciamento para antibioticoterapia: uma revisão sistemática
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Hong, Y., Kalfakakou, D., Cheong, I. H., & Kozlakidis, Z. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1763512
Metadata
- Authors
- Lane, M. A., Hays, A. J., Newland, H., Zack, J. E., Guth, R. M., & Newland, J. G.
- Affiliations
- BJC HealthCare (US)
- Corresponding author
- Lane, Michael A
- Venue
- American Journal of Health-System Pharmacy
- Publisher
- Oxford University Press (OUP)
- Published
- 2018-12-21
- Volume
- 76
- Issue
- 1
- Pages
- 34-43
- ISSN
- 1079-2082 (ISSN-L)
- 1535-2900
- OpenAlex
- W2909761131
- Cited by
- 13
- References
- 9
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 1 · 2022: 4 · 2021: 1 · 2020: 3 · 2019: 1
- FWCI
- 0.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- American Journal of Health-System Pharmacy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Centers for Disease Control and Prevention
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antibiotic Use and Resistance
- Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
- Health Sciences › Medicine › Surgery › Surgical site infection prevention
- Keywords
- antimicrobial stewardship programs, integrated health system, inappropriate antimicrobial use, gap analysis, clinical decision support, patient and provider education, regulatory compliance
- MeSH terms
- Academic Medical Centers, Professional Practice Gaps, Antimicrobial Stewardship, Anti-Bacterial Agents, Health Services Needs and Demand, Humans, Illinois, Missouri, Patient Care Team, Patient Education as Topic, Pharmacists, Pharmacy Service, Hospital, Program Development, Models, Organizational, Delivery of Health Care, Integrated
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Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
