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Date Updated:
Tue Jul 09 2019

749, Leapfrog Group, https://www.leapfroggroup.org

Appropriate use of antibiotics in hospitals

The descriptions for this measure come from source: www.leapfroggroup.org.

"Antibiotics save lives, but inappropriately prescribing these drugs can put patients at risk of super-resistant infections, preventable allergic reactions, and deadly diarrhea. Poor prescribing decisions also contribute to antibiotic resistance, making these drugs less likely to work in the future. Hospital leaders can combat these issues by creating a proactive antibiotic stewardship program."

Leapfrog scores hospitals on their commitment to principles set down by the Center for Disease Control and Prevention (CDC). Hospitals can meet Leapfrog's standard by adopting an antibiotic stewardship program that includes these core elements:

  • Leadership Commitment: Dedicating necessary human, financial and information technology resources 
  • Accountability: Appointing a single leader responsible for program outcomes.  Experience with successful programs show that a physician leader is effective
  • Drug Expertise: Appointing a single pharmacist leader responsible for working to improve antibiotic use.
  • Action: Implementing at least one recommended action, such as systemic evaluation of ongoing treatment need after a set period of initial treatment (i.e. “antibiotic time out” after 48 hours)
  • Tracking:  Monitoring antibiotic prescribing and resistance patterns
  • Reporting: Regular reporting information on antibiotic use and resistance to doctors, nurses and relevant staff
  • Education: Educating clinicians about resistance and optimal prescribing

About this measure

A hospital fully meets standards if the hospital has implemented all seven Core Elements identified by the CDC for a successful Antibiotic Stewardship Program.  Scores are reported as:

1 = Willing to Report
2 = Some Progress
3 = Substantial Progress
4 = Fully Meets the Standard

Note: In this measure, a higher number is better.