Stewardship Drivers


These "secondary drivers" are derived from research done by IHI and CDC. Each objective could be accompanied by one or more measures, with appropriate tasks and workflow to achieve the objectives.




Antibiotic Stewardship Objectives



1.


Promptly identify patients who require antibiotics


2.


Obtain cultures prior to antibiotics


3.


Start treatment promptly


4.


Specify expected duration of therapy


5.


Make antibiotics and start date visible at point of care


6.


Consider local susceptibility before starting therapy


7.


Determine and verify antibiotic allergies – adjust accordingly


8.


No antibiotic combinations without evidence


9.


Right dose and interval


10.


Stop or de-escalate based on results of culture


11.


Adjust when transitions of care or changes in condition


12.


Monitor for toxicity


13.


Provide data on resistance, adverse drug events, C difficile, cost, adherence to recommended practice


14.


Make expertise available to doctors at point of care