Approaches to Modifying the Behavior of Clinicians Who Are Noncompliant With Antimicrobial Stewardship Program Guidelines.

Approaches to Modifying the Behavior of Clinicians Who Are Noncompliant With Antimicrobial Stewardship Program Guidelines.

Goldstein Ellie J C; Goff Debra A; Reeve William; Naumovski Snezana; Epson Erin; Zenilman Jonathan; Kaye Keith S; File Thomas M Jr

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

2016

2016-08

Antimicrobial stewardship programs (ASPs) are a key national initiative to promote appropriate use of antibiotics and to reduce the burden of resistance. The dilemma of managing the outlier physician is especially complex. We outline strategies to establish a successful ASP that reviews appropriate efforts to achieve the goal of modifying outlier physicians' behavior. One must try to differentiate deviation from ASP norms from all other issues of outliers. Essential elements include identifying and understanding the local problems, planning, and achieving hospital administration and medical staff support. A successful ASP includes effective communication and acceptance of evidence-based recommendations, so that patient clinical outcomes will be optimized.

*antibiotic stewardship; *Antimicrobial Stewardship; *ASP; *outlier physicians; *peer review; *Practice Patterns; Anti-Bacterial Agents/*therapeutic use; Communication; Evidence-Based Medicine; Guideline Adherence; Humans; Physicians; Physicians'; Practice Guidelines as Topic

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

532–538

4

63