Clinical Infectious Diseases Advance Access published October 28, 2013 1 Internet-based institutional antimicrobial stewardship program resources in leading US
cr ipt
academic medical centers
Timothy P. Gauthier1,*, Evan Lantz2,**, Alexander Heyliger3, Sarah Francis4, Laura Smith5 1
Dept. of Pharmacy Practice, Nova Southeastern University College of Pharmacy; 3200 South
University Drive, Fort Lauderdale, Florida, 33328, USA
us
Dept. of Pharmacy, Jackson Memorial Hospital; 1611 NW 12th Avenue, Miami, FL, USA
3
Nova Southeastern University, College of Pharmacy; Fort Lauderdale, FL, USA
4
Candidate; Nova Southeastern University, College of Pharmacy; Fort Lauderdale, FL, USA
an
5
Dept. of Pharmacy, Jackson Memorial Hospital; Miami, FL, USA
Corresponding Author: Phone: (954) 262 – 1362; Fax: (305) 355 – 1529; [email protected].
**
Alternate Corresponding Author: Phone: (305) 585 – 8349; Fax: (305) 355 – 1529;
Ac
ce
pt ed
[email protected].
M
*
© The Author 2013. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e‐mail: [email protected]
Downloaded from http://cid.oxfordjournals.org/ at St. Petersburg State University on November 3, 2013
2
1 Dear Editor, We read with great interest the article by Moodley et al [1], which presents a review of infectious
cr ipt
diseases applications (apps) for the iPhone/iPad and Android devices. The authors detail numerous resources and discuss potential opportunities to optimize app reliability or
standardization, which is of value to a wide range of specialists. The purpose of this letter is to elaborate on the theme of accessible electronic resources by providing data on internet-based
us
institutional antimicrobial stewardship program (ASP) web pages from leading American academic medical centers.
We utilized online search engines to analyze hospitals listed as University HealthSystem
an
Consortium (UHC) members [2] to identify the existence of hospital and health-system ASP web pages. UHC is an alliance of hospitals representing the nation’s leading academic medical
M
centers. Existence and components of institution-specific ASP online resources were recorded. To identify potentially prototypical formats, an internet site was considered “comprehensive” when a clear program description accompanied resources for at least three ASP elements or
pt ed
strategies per the Infectious Diseases Society of America and Society for Healthcare Epidemiology of America ASP guidelines [3]. Resulting data were evaluated and is presented using descriptive statistics.
The UHC member list produced 407 hospitals for evaluation. Of these, 24 (6%) were
ce
found to have online ASP resources through 18 unique websites. The Midwest and South US regions each account for a third of the websites. The median hospital size with an ASP website is just over 600 beds (range 25 to 1550 beds). Wexner Medical Center at The Ohio State
Ac
University Medical Center incorporated password restriction and The University of Chicago Medicine utilized social media website Facebook® as a vehicle for their ASP website. A general program description and contact information is provided by 13 (73%) and 14 (78%) sites, respectively. A list of ASP members is available on 13 (73%) sites, with 15 (83%) sites disclosing both pharmacist and physician involvement. An antibiogram and external hyperlinks
2 related to antimicrobial use are provided by 11 (61%) and 10 (56%) sites, respectively. Fourteen (78%) websites note formulary restriction, of which three do not provide a list of
cr ipt
restricted agents. Antimicrobial dosing recommendations and guidelines or clinical decision pathways are provided by 14 (78%) and 12 (67%) of sites. Four (22%) provided information as
one PDF document. Thirteen (72%) websites were determined to be comprehensive (Table 1). Publicly accessible web-based resources provided by ASPs of leading US hospitals
us
exist in limited numbers and are primarily maintained by large institutions. Institution-specific characteristics and resources vary vastly, representing opportunity for standardization and
individualization. Institutional ASP websites may be a practical vehicle to provide accessible
an
data to practitioners from numerous professions. Future research regarding the utility of these
(e.g., via apps) may be of value.
pt ed
Funding: none
M
websites and initiatives to make institution-specific resources available on a mobile platform
Acknowledgments: none
Ac
ce
Conflicts of interest: none
3 References 1. Moodley A, Mangino JE, and Goff DA. Review of infectious diseases applications for
cr ipt
iPhone/iPad and Android: from pocket to patient. Clin Infect Dis. 2013; 57(8): 1145-54. 2. University Healthcare Consortium. Https://www.uhc.edu/home.htm. Accessed 10 September 2013.
3. Dellit TH, Owens RC, McGowan JE, et al. Infectious diseases society of America and
us
the society for healthcare epidemiology of America guidelines for developing an
institutional program to enhance antimicrobial stewardship. Clin Infect Dis. 2007; 44:
Ac
ce
pt ed
M
an
159-77.
Table 1. Webpages determined to be comprehensive Institution / Hospital
Hyperlink http://bugsanddrugs.stanford.edu
cr ipt
Stanford Hospital & Clinics UCLA Health System (Ronald Reagan UCLA Medical Center)
http://www.asp.mednet.ucla.edu/pages/
http://ugotabug.med.miami.edu/jmh-antimicrobialstewardship-program/
University of Kentucky Hospital
http://www.hosp.uky.edu/pharmacy/amt/default.html
Barnes-Jewish Hospital
http://bjhtoolbook.wustl.edu/
us
Jackson Health System (Jackson Memorial Hospital)
an
http://www.wakehealth.edu/School/CAUSE/CAUSE. htm
Wake Forest Baptist Health
Maine Medical Center
M
http://www.mainehealth.org/workfiles/mmc_em/Adul t_Antimicrobial_Formulary_Guide.pdf
Hospital)
pt ed
Johns Hopkins Health System (The Johns Hopkins
http://www.hopkinsmedicine.org/amp
NewYork-Presbyterian Hospital–Columbia University
http://www.cumc.columbia.edu/dept/id/clinical_refer
Medical Center
ences.html
ce
The Nebraska Medical Center
http://www.nebraskamed.com/careers/educationprograms/asp http://www.clevelandclinicmeded.com/medicalpubs/ antimicrobial-guidelines/
Wexner Medical Center at The Ohio State University
http://rx.osumc.edu/asp/
Ac
The Cleveland Clinic Foundation
University of Wisconsin Hospital and Clinics
http://www.uwhealth.org/antimicrobialstewardship/main/36408
cr ipt
academic medical centers
Timothy P. Gauthier1,*, Evan Lantz2,**, Alexander Heyliger3, Sarah Francis4, Laura Smith5 1
Dept. of Pharmacy Practice, Nova Southeastern University College of Pharmacy; 3200 South
University Drive, Fort Lauderdale, Florida, 33328, USA
us
Dept. of Pharmacy, Jackson Memorial Hospital; 1611 NW 12th Avenue, Miami, FL, USA
3
Nova Southeastern University, College of Pharmacy; Fort Lauderdale, FL, USA
4
Candidate; Nova Southeastern University, College of Pharmacy; Fort Lauderdale, FL, USA
an
5
Dept. of Pharmacy, Jackson Memorial Hospital; Miami, FL, USA
Corresponding Author: Phone: (954) 262 – 1362; Fax: (305) 355 – 1529; [email protected].
**
Alternate Corresponding Author: Phone: (305) 585 – 8349; Fax: (305) 355 – 1529;
Ac
ce
pt ed
[email protected].
M
*
© The Author 2013. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e‐mail: [email protected]
Downloaded from http://cid.oxfordjournals.org/ at St. Petersburg State University on November 3, 2013
2
1 Dear Editor, We read with great interest the article by Moodley et al [1], which presents a review of infectious
cr ipt
diseases applications (apps) for the iPhone/iPad and Android devices. The authors detail numerous resources and discuss potential opportunities to optimize app reliability or
standardization, which is of value to a wide range of specialists. The purpose of this letter is to elaborate on the theme of accessible electronic resources by providing data on internet-based
us
institutional antimicrobial stewardship program (ASP) web pages from leading American academic medical centers.
We utilized online search engines to analyze hospitals listed as University HealthSystem
an
Consortium (UHC) members [2] to identify the existence of hospital and health-system ASP web pages. UHC is an alliance of hospitals representing the nation’s leading academic medical
M
centers. Existence and components of institution-specific ASP online resources were recorded. To identify potentially prototypical formats, an internet site was considered “comprehensive” when a clear program description accompanied resources for at least three ASP elements or
pt ed
strategies per the Infectious Diseases Society of America and Society for Healthcare Epidemiology of America ASP guidelines [3]. Resulting data were evaluated and is presented using descriptive statistics.
The UHC member list produced 407 hospitals for evaluation. Of these, 24 (6%) were
ce
found to have online ASP resources through 18 unique websites. The Midwest and South US regions each account for a third of the websites. The median hospital size with an ASP website is just over 600 beds (range 25 to 1550 beds). Wexner Medical Center at The Ohio State
Ac
University Medical Center incorporated password restriction and The University of Chicago Medicine utilized social media website Facebook® as a vehicle for their ASP website. A general program description and contact information is provided by 13 (73%) and 14 (78%) sites, respectively. A list of ASP members is available on 13 (73%) sites, with 15 (83%) sites disclosing both pharmacist and physician involvement. An antibiogram and external hyperlinks
2 related to antimicrobial use are provided by 11 (61%) and 10 (56%) sites, respectively. Fourteen (78%) websites note formulary restriction, of which three do not provide a list of
cr ipt
restricted agents. Antimicrobial dosing recommendations and guidelines or clinical decision pathways are provided by 14 (78%) and 12 (67%) of sites. Four (22%) provided information as
one PDF document. Thirteen (72%) websites were determined to be comprehensive (Table 1). Publicly accessible web-based resources provided by ASPs of leading US hospitals
us
exist in limited numbers and are primarily maintained by large institutions. Institution-specific characteristics and resources vary vastly, representing opportunity for standardization and
individualization. Institutional ASP websites may be a practical vehicle to provide accessible
an
data to practitioners from numerous professions. Future research regarding the utility of these
(e.g., via apps) may be of value.
pt ed
Funding: none
M
websites and initiatives to make institution-specific resources available on a mobile platform
Acknowledgments: none
Ac
ce
Conflicts of interest: none
3 References 1. Moodley A, Mangino JE, and Goff DA. Review of infectious diseases applications for
cr ipt
iPhone/iPad and Android: from pocket to patient. Clin Infect Dis. 2013; 57(8): 1145-54. 2. University Healthcare Consortium. Https://www.uhc.edu/home.htm. Accessed 10 September 2013.
3. Dellit TH, Owens RC, McGowan JE, et al. Infectious diseases society of America and
us
the society for healthcare epidemiology of America guidelines for developing an
institutional program to enhance antimicrobial stewardship. Clin Infect Dis. 2007; 44:
Ac
ce
pt ed
M
an
159-77.
Table 1. Webpages determined to be comprehensive Institution / Hospital
Hyperlink http://bugsanddrugs.stanford.edu
cr ipt
Stanford Hospital & Clinics UCLA Health System (Ronald Reagan UCLA Medical Center)
http://www.asp.mednet.ucla.edu/pages/
http://ugotabug.med.miami.edu/jmh-antimicrobialstewardship-program/
University of Kentucky Hospital
http://www.hosp.uky.edu/pharmacy/amt/default.html
Barnes-Jewish Hospital
http://bjhtoolbook.wustl.edu/
us
Jackson Health System (Jackson Memorial Hospital)
an
http://www.wakehealth.edu/School/CAUSE/CAUSE. htm
Wake Forest Baptist Health
Maine Medical Center
M
http://www.mainehealth.org/workfiles/mmc_em/Adul t_Antimicrobial_Formulary_Guide.pdf
Hospital)
pt ed
Johns Hopkins Health System (The Johns Hopkins
http://www.hopkinsmedicine.org/amp
NewYork-Presbyterian Hospital–Columbia University
http://www.cumc.columbia.edu/dept/id/clinical_refer
Medical Center
ences.html
ce
The Nebraska Medical Center
http://www.nebraskamed.com/careers/educationprograms/asp http://www.clevelandclinicmeded.com/medicalpubs/ antimicrobial-guidelines/
Wexner Medical Center at The Ohio State University
http://rx.osumc.edu/asp/
Ac
The Cleveland Clinic Foundation
University of Wisconsin Hospital and Clinics
http://www.uwhealth.org/antimicrobialstewardship/main/36408
