rdf-syntax-grammar
mods:
  schema location: http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-2.xsd
  title info:
    title: Antimicrobial stewardship programs in outpatient settings
    sub title: a systematic review
  name:
    name part: Drekonja, Dimitri
    role:
      role term: creator
    role:
      role term: author.
  name:
    name part: United States
    name part: Department of Veterans Affairs.
    name part: Health Services Research and Development Service,
    role:
      role term: issuing body.
  name:
    name part: Quality Enhancement Research Initiative (U.S.)
  name:
    name part: Minneapolis VA Health Care System (U.S.)
    name part: VA Evidence Synthesis Program.
  name:
    name part: Evidence-based Synthesis Program (U.S.)
  type of resource: text
  genre: bibliography
  origin info:
    place:
      place term: dcu
    date issued: 2014
    issuance: monographic
  language:
    language term: eng
  physical description:
    form: remote
    extent: 1 online resource (iv, 150 pages) : illustrations
  abstract: The majority of antimicrobials prescribed to humans originate in outpatient settings. In making prescribing decisions, primary care providers are faced with patient expectations, and with patient and provider lack of awareness of antimicrobial resistance and lack of understanding of the seriousness of the antimicrobial resistance problem. Antimicrobial stewardship programs (ASPs) are a focused effort by a health care system or a part of the system (ie, an outpatient clinic) to optimize the use of antimicrobial agents. The goals of an ASP are to improve patient outcomes, decrease adverse consequences including from adverse drug reactions and antimicrobial associated infections (eg, Clostridium difficile diarrhea), reduce or prevent antimicrobial resistance, and deliver cost-effective therapy. The emphasis is on appropriate use, selection, dosing, and duration of antimicrobial therapy. The purpose of this review is to synthesize the evidence about the effectiveness of ASPs implemented in outpatient settings. We categorized ASPs based on the primary focus of the intervention as described by the study author. Our categories are: provider and/or patient education, provider feedback, guidelines, delayed prescribing, communications skills training, restriction, decision support, financial incentives, and laboratory testing. The topic was nominated by Matthew Goetz, MD, Chief, Infectious Diseases, VA Greater Los Angeles Healthcare System, on behalf of the VA Antimicrobial Stewardship Task Force, and is intended to provide a summary of the evidence on outpatient ASPs to guide clinical practice and policy within the Veterans Healthcare System.
  note: Dimitri Drekonja [and six others].
  note: "Evidence-based synthesis program."
  note: "February 2014."
  note: GPO Cataloging Record Distribution Program (CRDP).
  note: Includes bibliographical references (pages 80-86).
  note: VA-ESP 09-009
  subject:
    geographic code: n-us---
  subject:
    topic: Anti-infective agents
    topic: Therapeutic use
    geographic: United States
  subject:
    topic: Ambulatory medical care
    topic: Utilization
    geographic: United States
  subject:
    topic: Outcome assessment (Medical care)
    geographic: United States
  subject:
    topic: Ambulatory medical care
    topic: Utilization
  subject:
    topic: Anti-infective agents
    topic: Therapeutic use
  subject:
    topic: Outcome assessment (Medical care)
  subject:
    geographic: United States
  classification: VA 1.107/3:AN 8/4
  identifier: https://purl.fdlp.gov/GPO/gpo154104
  record info:
    record content source: NLM
    record creation date: 150303
    record change date: 20220803200510.5
    record identifier: in00004435449
    language of cataloging:
      language term: eng