NDLI: Rationale and development of a business case for antimicrobial stewardship programs in acute care hospital settings

Content Provider	Springer Nature : BioMed Central
Author	Morris, A. M. Rennert-May, E. Dalton, B. Daneman, N. Dresser, L. Fanella, S. Grant, J. Keynan, Y. Le Saux, N. McDonald, J. Shevchuk, Y. Thirion, D. Conly, J. M.
Abstract	Background Antimicrobial stewardship programs (ASPs) have been shown to reduce inappropriate antimicrobial use and its consequences. However, these programs lack legislative requirements in many places and it can be difficult to determine what human resources are required for these programs and how to create a business case to present to hospital administrators for program funding. The objectives of the current paper were to review legislative requirements and outline human resource requirements for ASPs, and to create a base business case for ASPs. Methods A working group of antimicrobial stewardship experts from across Canada met to discuss the necessary components for creation of a business case for antimicrobial stewardship. A narrative review of the literature of the regulatory requirements and human resource recommendations for ASPs was conducted. Informed by the review and using a consensus decision-making process, the expert working group developed human resource recommendations based on a 1000 bed acute care health care facility in Canada. A spreadsheet based business case model for ASPs was also created. Results Legislative and /or regulatory requirements for ASPs were found in 2 countries and one state jurisdiction. The literature review and consensus development process recommended the following minimum human resources complement: 1 physician, 3 pharmacists, 0.5 program administrative and coordination support, and 0.4 data analyst support as full time equivalents (FTEs) per 1000 acute care beds. Necessary components for the business case model, including the human resource requirements, were determined to create a spreadsheet based model. Conclusions There is evidence to support the negative outcomes of inappropriate antimicrobial use as well as the benefits of ASPs. Legislative and /or regulatory requirements for ASPs are not common. The available evidence for human resource recommendations for ASPs using a narrative review process was examined and a base business case modelling scenario was created. As regulatory requirements for ASPs increase, it will be necessary to create accurate business cases for ASPs in order to obtain the necessary funding to render these programs successful.
Related Links	https://aricjournal.biomedcentral.com/counter/pdf/10.1186/s13756-018-0396-z.pdf
Ending Page	6
Page Count	6
Starting Page	1
File Format	HTM / HTML
ISSN	20472994
DOI	10.1186/s13756-018-0396-z
Journal	Antimicrobial Resistance & Infection Control
Issue Number	1
Volume Number	7
Language	English
Publisher	BioMed Central
Publisher Date	2018-08-29
Access Restriction	Open
Subject Keyword	Medical Microbiology Drug Resistance Infectious Diseases Antimicrobial stewardship Antimicrobial resistance Business case Human resources
Content Type	Text
Resource Type	Review
Subject	Public Health, Environmental and Occupational Health Infectious Diseases Microbiology (medical) Pharmacology (medical)
Journal Impact Factor	4.8/2023
5-Year Journal Impact Factor	5.8/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Value of hospital antimicrobial stewardship programs [ASPs]: a systematic review

Antimicrobial stewardship in primary health care programs in humanitarian settings: the time to act is now

Implementation and impact of pediatric antimicrobial stewardship programs: a systematic scoping review

Antibiotic utilisation and resistance over the first decade of nationally funded antimicrobial stewardship programmes in Singapore acute-care hospitals

Antimicrobial stewardship in rural and remote primary health care: a narrative review

Antimicrobial stewardship in long term care facilities: what is effective?

Antimicrobial stewardship auditing of patients reviewed by infectious diseases physicians in a tertiary university hospital

Correction to: Implementation and impact of pediatric antimicrobial stewardship programs: a systematic scoping review

Automated surveillance of antimicrobial consumption in intensive care, northern Sweden: an observational case study

Rationale and development of a business case for antimicrobial stewardship programs in acute care hospital settings

Similar Documents

Value of hospital antimicrobial stewardship programs [ASPs]: a systematic review

Antimicrobial stewardship in primary health care programs in humanitarian settings: the time to act is now

Implementation and impact of pediatric antimicrobial stewardship programs: a systematic scoping review

Antibiotic utilisation and resistance over the first decade of nationally funded antimicrobial stewardship programmes in Singapore acute-care hospitals

Antimicrobial stewardship in rural and remote primary health care: a narrative review

Antimicrobial stewardship in long term care facilities: what is effective?

Antimicrobial stewardship auditing of patients reviewed by infectious diseases physicians in a tertiary university hospital

Correction to: Implementation and impact of pediatric antimicrobial stewardship programs: a systematic scoping review

Automated surveillance of antimicrobial consumption in intensive care, northern Sweden: an observational case study

Rationale and development of a business case for antimicrobial stewardship programs in acute care hospital settings