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

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...

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Bibliographic Details
Published in:Clinical infectious diseases 2016-08, Vol.63 (4), p.532-538
Main Authors: Goldstein, Ellie J. C., Goff, Debra A., Reeve, William, Naumovski, Snezana, Epson, Erin, Zenilman, Jonathan, Kaye, Keith S., File, Thomas M.
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - therapeutic use
Antibiotics
Antimicrobial agents
Antimicrobial Stewardship
CLINICAL PRACTICE
Communication
Evidence-Based Medicine
Guideline Adherence
Humans
Physicians
Practice Guidelines as Topic
Practice Patterns, Physicians
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Summary: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.
ISSN:1058-4838
1537-6591
DOI:10.1093/cid/ciw247