St. Joseph Hospital Presenting at the 2018 ASHP Meeting
St. Joseph Hospital has been asked to present at the next midyear clinical meeting of the ASHP (American Society of Health System Pharmacists). ASHP is a professional organization that represents pharmacist who serve as patient care providers in both hospital and acute care settings. The organization’s 45,000 members include pharmacists, student pharmacists, and pharmacy technicians. For more than 75 years, ASHP has been at the forefront of efforts to improve medication use and enhance patient safety and during its national meeting posters and presentations are selected which can provide significant patient care improvements.
St. Joseph Hospital’s poster on the “Impact the Impact of Antimicrobial Stewardship Program on Antibiotic Expenditures, Bacterial Resistance, and Clostridium Difficile Incidence at a Suburban Community Hospital” will be presented at the upcoming meeting to be held in Anaheim California this December.
Increasing antimicrobial resistance is a looming public health threat that has claimed tens of thousands of lives and cost the United States healthcare industry billions of dollars per year. Appropriate antibiotic use through implementation of interdisciplinary stewardship programs is recommended by the Centers for Disease Control’s Core Elements and numerous other published guidelines. The St. Joseph Hospital study was designed to assess the impact of the implementation of a diverse set of antimicrobial stewardship interventions on antibiotic expenditures, bacterial resistance, and Clostridium difficile incidence at a 200-bed community hospital in suburban Long Island.
The St. Joseph Hospital study included the following process implementations: Around-the-clock pharmacist-assisted dose optimization, Clinical Pharmacist participation in interdisciplinary round, daily pharmacist-driven intravenous-to-oral conversions, prospective antibiotic review and restriction of antimicrobials and the creation of a interdisciplinary antimicrobial stewardship committee. The antimicrobial stewardship committee is responsible to evaluate all patients on restricted antibiotics and to suggest intervention to prescribers.
The efforts of this study have resulted in a 39.1 percent decrease in total antibiotic expenditures per 1000 patient days, as well as, a $260,000 savings between January 2015 and December 2017. The antimicrobial stewardship developed by an interdisciplinary team here at St. Joseph Hospital resulted in an essential and effective program resulting in reducing and preventing antimicrobial resistance to antibiotics.