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Antimicrobial Stewardship Program

30-Nov-2015

RQHR did not meet the Accreditation Canada requirements related to having an Antimicrobial Stewardship Program in spring, 2015. An action plan was developed to address this deficit, which included a Design RPIW that was held in October, 2015. The team members in the Design RPIW addressed all of the key requirements identified by Accreditation Canada for an Antimicrobial Stewardship Program and drafted an implementation plan and a draft business case, which has continued to be revised. On November 17, 2015 a Briefing Note will go before SLT where direction and decisions on a number of components related to the development and implementation of an Antimicrobial Stewardship Program will be supported.

Antimicrobial Stewardship is:

Appropriate indication, selection, dosing, route, duration of antimicrobial therapy.

FACTS:

  • Effective antimicrobial therapy is an essential component of patient and family centered care.

  • Drug resistance is increasing at a time when there is a dramatic drop in the development and approval of new antibacterial agents.

  • Resistant infections result in increased morbidity and mortality and dramatically increase health care costs.

  • Best practice in Antimicrobial Stewardship requires the right antibiotics (specific to the pathogen) be appropriately prescribed in the right dose, for the right duration. Furthermore, better patient outcomes are associated with conversion from IV to oral therapy at the earliest appropriate time to reduce risk of in-line sepsis. This facilitates earlier discharge.

  • Inappropriate antibiotic usage leads to increased pathogen resistance, higher incidence of Clostridium Difficile (C-Dif) infection, hospital-acquired sepsis, morbidity and mortality, greater length of stay and higher health care costs.

  • As of 2013, Accreditation Canada mandated that all acute care facilities have an Antimicrobial Stewardship Program.

  • Implementation of an Antimicrobial Stewardship Program would directly support the provision of Better Health, Better Care, Better Value and Better Teams as it directly addresses quality of care and patient safety whilst also affecting patient flow.

  • The need for an Antimicrobial Stewardship Program within the RQHR and Southern Saskatchewan has been identified by numerous stakeholders.

Contact:

Interim Project Manager
Robert Parker

2180 Victoria Ave E.
Regina, SK S4P 7B9

Phone: 306-766-0790
Cell: 306-541-9778

E-mail:Robert.parker@rqhealth.ca