Information Technology

The incorporation of information technology (IT) into an antimicrobial stewardship program can help improve efficiency of the interventions and facilitate tracking and reporting of key metrics, including outcomes, according to a Society for Healthcare Epidemiology of America (SHEA) white paper publish in the society’s journal Infection Control & Hospital Epidemiology.
Antimicrobial stewardship is the systematic effort to educate and persuade prescribers of antimicrobials to follow evidence-base prescribing, in order to stem antibiotic overuse, and thus antimicrobial resistance. AMS has an organize effort of specialists in infectious diseases; so both in Internal Medicine and Pediatrics with their respective peer-organizations, hospital pharmacists, the public health community and their professional organizations since the late 1990s.

The context of physicians

It has first been implement in hospitals. In the U.S., within the context of physicians‘ prescribing freedom; AMS has largely been voluntary self-regulation in the form of policies and appeals to adhere to a prescribing self discipline. At hospitals, this may take the form of an antimicrobial stewardship program. As of 2014, only the state of California has made this type of AMS mandatory by law.

Clinical decision support tools

Beyond recommendations on how best to select, implement; also utilize EHR and clinical decision-support tools; so the authors outline several recommendations to help close the gaps in existing systems including: Creating more nimble systems for non-acute settings such as primary care clinics, surgery centers, and outpatient dialysis centers.
Improving documentation processes for clinical decision support and EHR tools to reduce the provider burden. Enhancing the ability to track and report patient outcomes. Establishing user networks to share best practices and reduce redundancies to help increase the efficiency of the development of rules and reports
“While existing systems may present challenges; so when use optimally, informatics can create readily available tools for local and national reporting; hence help guide appropriate antimicrobial prescribing that improves selection, dosing, and duration of therapy, and serve as an educational reference for trainees and providers,” said Kuper.