Electronic Outpatient Antibiotic Stewardship Toolkits

Greetings Leaders in Outpatient Antibiotic Stewardship!

The purpose of this toolkit is to provide outpatient antibiotic stewardship leaders with the resources needed to implement a program inclusive of The Core Elements of Outpatient Antibiotic Stewardship as defined by the Centers for Disease Control and Prevention. It will serve as an aid for tracking your team’s development and implementation progress. Additional resources and updates will be shared in an electronic version of this toolkit which will be made available soon.

Commitment is a determinant of success. Activities and interventions that will fulfill commitment are noted on the checklist adhered to the content organizer for this section. By completing the Participation Agreement and returning it to QHA with a signature, you have identified a leader to direct antibiotic stewardship activities in your facility. Congratulations!

In the content organizer you will find posters to display public commitment.

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Antibiotic Stewardship Program Toolkit Introduction
A Commitment to Our Patients about Antibiotics
A Commitment to Our Patients

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Clinic

Pharmacy

In addition to commitment, policies and interventions will drive appropriate antibiotic utilization practices. The checklist adhered to the content organizer for this section provides suggested strategies and examples are provided in the content organizer. Prioritize chosen interventions according to feasibility, acceptability, resource commitment and anticipated barriers.

Also included in this section is an Outpatient Antibiotic Stewardship Plan template. This template is designed to guide development and implementation of your facility’s antibiotic stewardship program. The content captured in this plan may be useful as you develop and/or refine your facility’s outpatient antibiotic stewardship policy. A community pharmacy specific plan will be provided shortly.

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Outpatient Antibiotic Stewardship Plan Template
CDC Adult Treatment Recommendations
CDC Pediatric Treatment Recommendations

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Hospital Pharmacists Guide to Antimicrobial Stewardship Programs
Sample Hospital Policy

Clinic
The Quality Payment Program and Antibiotic Stewardship Crosswalk

Pharmacy
Hospital Pharmacists Guide to Antimicrobial Stewardship Programs
JAPhA Outpatient Antibiotic Stewardship: Interventions and Opportunities (JAPhA Subscription Needed to View Full Article)
JAPhA  A Call to Action for Outpatient Antibiotic Stewardship (JAPhA Subscription Needed to View Full Article)
ASHP Statement on Pharmacist’s Role in ASP
Antimicrobial Stewardship – Royal Pharmaceutical Society

Tracking and reporting is necessary to focus interventions and gauge improvement. Start small and build your tracking and reporting system as you move forward. The checklist adhered to the content organizer in this section offers several suggestions to guide tracking and reporting implementation; a sample tracking tool is provided in the content organizer. Also, an electronic Infection Tracker, developed by QHA and the ND Department of Health, will be made available soon.

Remember to set up a formal process for reporting to your facility’s executive leadership, committees and staff.

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Audit Worksheet for Viral Upper Respiratory Infections
Sample Tracking Tool | Minnesota Department of Health

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Audit Worksheet for Acute Bronchitis Four Steps to Track Antibiotic Prescribing

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Pharmacy
Support Services for North Dakota Pharmacists

Education and expertise will help rapidly advance your outpatient antibiotic stewardship program. An abundance of educational materials and opportunities are available. Samples are provided in the content organizer for this section.

Remember to track your facility’s attendance at educational events and distribution of educational materials. You may choose to utilize the enclosed tracking document.

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Facility Education Tracking Tool
What you should know about Antibiotic Resistance
Viruses or Bacteria – What’s Got You Sick?
Resistance Anywhere is Resistance Everywhere
Preserve the Power of Antibiotics
Save Money with Antibiotic Stewardship

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Preventing and Treating Ear Infections
Snort. Sniffle. Sneeze. No Antibiotics Please

Clinic 
Preventing and Treating Ear Infections
Snort. Sniffle. Sneeze. No Antibiotics Please
What is Delayed Prescribing?
What is Watchful Waiting?

Pharmacy
CDC GetSmart Pharmacist Courses
What is Delayed Prescribing?
What is Watchful Waiting?

Electronic links to resources and tools are provided for your convenience.

On behalf of Quality Health Associates of North Dakota and the Great Plains Quality Innovation Network, thank you for being a leader in outpatient antibiotic stewardship!

Antibiotic Stewardship Overview and Patient Resources
Antibiotic Stewardship Resources for Healthcare Professionals
Antibiotic Stewardship Programs and Program Development
Outpatient Antibiotic Stewardship Resource List

Learning and Action Network

We invite you to join the Great Plains Learning and Action Network (LAN). All LAN partners will be invited to attend educational sessions on a variety of topics, have opportunities to learn from peers throughout the state and region and have access to an abundance of resources and tools. The LAN is a great opportunity to get connected and demonstrate your commitment to quality improvement.