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Safety of Automatic End Dates for Antimicrobial Orders to Facilitate Stewardship

Published online by Cambridge University Press:  13 May 2016

Rachael K. Ross ,
Jonathan M. Beus ,
Talene A. Metjian ,
A. Russell Localio ,
Eric D. Shelov ,
Bimal R. Desai ,
Sean P. O’Neill ,
Theoklis E. Zaoutis  and
Jeffrey S. Gerber
Rachael K. Ross
Affiliation:
Division of Infectious Diseases, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania The Center for Pediatric Clinical Effectiveness, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
Jonathan M. Beus
Affiliation:
Division of Infectious Diseases, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania The Center for Pediatric Clinical Effectiveness, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
Talene A. Metjian
Affiliation:
Antimicrobial Stewardship Program, Office of Safety and Medical Operations, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
A. Russell Localio
Affiliation:
Department of Biostatistics and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Eric D. Shelov
Affiliation:
Division of General Pediatrics, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Department of Biomedical and Health Informatics, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
Bimal R. Desai
Affiliation:
Division of General Pediatrics, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Department of Biomedical and Health Informatics, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
Sean P. O’Neill
Affiliation:
Medication Safety, Office of Safety and Medical Operations, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
Theoklis E. Zaoutis
Affiliation:
Division of Infectious Diseases, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania The Center for Pediatric Clinical Effectiveness, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Jeffrey S. Gerber*
Affiliation:
Division of Infectious Diseases, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania The Center for Pediatric Clinical Effectiveness, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Antimicrobial Stewardship Program, Office of Safety and Medical Operations, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
*
Address correspondence to Jeffrey S. Gerber, MD, PhD, Division of Infectious Diseases, The Children’s Hospital of Philadelphia, 3535 Market St, Suite 1518, Philadelphia, PA 19104 (gerberj@email.chop.edu).
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Abstract

Following implementation of automatic end dates for antimicrobial orders to facilitate antimicrobial stewardship at a large, academic children’s hospital, no differences were observed in patient mortality, length of stay, or readmission rates, even among patients with documented bacteremia.

Infect Control Hosp Epidemiol 2016;37:974–978

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 37 , Issue 8 , August 2016 , pp. 974 - 978
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

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Footnotes

PREVIOUS PRESENTATION. The results of this study were presented at IDWeek 2014, October 11, 2014, Philadelphia, Pennsylvania.

References

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