The Blind Spot of Antibiotic Stewardship: Antibiotic Overuse at Discharge
Appropriate antibiotic use is critical to improve patient outcomes and reduce adverse harm and antibiotic resistance. Half of all antibiotic use related to acute hospitalization for infection occurs after hospital discharge, yet most antibiotic stewardship programs don’t target prescribing at discharge. Thus while antibiotics can be life-saving when prescribed appropriately, often times antibiotics prescribed at discharge extend beyond duration typically recommended for the infection, and are inappropriate or unnecessary. Dr. Vaughn, a hospitalist physician and hospitalist lead for an initiative to improve prescribing across the state of Michigan, will address the current state of antibiotic use at discharge, discuss why providers often overprescribe at discharge, and help improve prescribing, and patient outcomes, during care transitions.
This webinar was originally recorded on 9/24/19.
Nurses, physician assistants, physicians, emergency responders, physical therapists, patient care assistants, and other healthcare staff
At the end of the course, the learner should be able to:
- Restate why transitions of care are challenging stewardship environments.
- Identify drivers of antibiotic overuse in the transition from inpatient to outpatient care.
- Define practical strategies for streamlining antibiotic management at transitions of care.
Sepsis Alliance gratefully acknowledges the support provided by bioMérieux, Inc. for this webinar.
Valerie Vaughn, MD, MSc
Assistant Professor, University of Michigan Medical School and Ann Arbor VA Healthcare System
Valerie Vaughn, MD, MSc is an Assistant Professor of Medicine and hospitalist physician at the University of Michigan Medical School and Ann Arbor Veteran’s Association Hospital. Her research focuses on improving the safety of hospitalized patients by combating healthcare associated infections and reducing antibiotic overuse, particularly at hospital discharge. She is Hospitalist Lead for an initiative to improve antibiotic prescribing in a 46-hospital collaborative, the Hospital Medicine Safety Consortium. She has authored over 20 peer-reviewed papers, including high-profile articles for JAMA, BMJ, Clinical Infectious Diseases, and Annals of Internal Medicine. She serves as Liaison for the Society of Hospital Medicine to the Centers for Disease Control and Prevention’s Healthcare Infection Control Practices Advisory Committee and as a member of the Society for Healthcare Epidemiology of America’s Research Committee.
Sepsis Alliance is approved by the California Board of Registered Nursing, Provider Number CEP17068 for 1.6 contact hours.
Other healthcare providers will receive a certificate of attendance for 1.25 contact hours.
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- 1.60 RN CE Contact HoursProvider approved by the California Board of Registered Nursing, Provider Number CEP17068.
- 1.25 Participation