Approaches to modifying the behavior of clinicians who are noncompliant with antimicrobial stewardship program guidelines

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

Research output: Contribution to journalReview articlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)532-538
Number of pages7
JournalClinical Infectious Diseases
Volume63
Issue number4
DOIs
StatePublished - Aug 15 2016

Keywords

  • ASP
  • Antibiotic stewardship
  • Outlier physicians
  • Peer review

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

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