Improving antibiotic use is an important patient safety and public health priority. When Rome Memorial Hospital reviewed their antibiotic utilization, they found opportunities to improve documentation and prescribing.
Rome Memorial Hospital established their Antimicrobial Stewardship program as a solution to ensure that every patient receives optimal antibiotic therapy. To combat the increase of antimicrobial resistance, they instituted a framework to reduce inappropriate antibiotic utilization. They also modified their computerized physician order entry (CPOE) system to require entry of an order set when selecting an antibiotic. Education for physicians, consistent communication with pharmacists, and understanding the physician’s initial intention for symptomatic treatment are key components to successful documentation and accurate antibiotic recommendations. In 2015, the program was expanded beyond the existing intravenous (IV) to oral (PO) and renal dosing protocols.
As a result of these improvements, medical staff approval of 72-hour soft stops allow for de-escalation or discontinuation of ordered antibiotics at 72 hours. Additionally, antibiotic cost-per-discharge has been reduced.