Jessica Soldavini, Alice S Ammerman
Serving Breakfast Free to All Students and Type of Breakfast Serving Model Are Associated with Participation in the School Breakfast Program
Journal of the Academy of Nutrition and Dietetics
route administration important component antimicrobial stewardship early transition intravenous enteral antibiotics hospitalized children associated fewer catheterrelated adverse events well decreased costs length stay aim increase percentage enteral antibiotic doses hospital medicine patients uncomplicated common bacterial infections communityacquired pneumonia skin soft tissue infection urinary tract infection neck infection 50 80 6 months formed multidisciplinary team evaluate key drivers design plandostudyact cycles interventions included provider education structured discussion existing team huddles pocketsized printed information primary measure percentage antibiotic doses given enterally patients receiving enteral medications secondary measures included antibiotic cost number peripheral intravenous catheters length stay 7day readmission used statistical process control charts track measures 6month baseline period 12 months improvement work observed 3183 antibiotic doses 888 baseline period 2295 doses improvement work observed increase percentage antibiotic doses given enterally per week eligible patients 50 67 observed decreased antibiotic costs fewer peripheral intravenous catheters per encounter interventions change length stay readmissions observed increased enteral antibiotic doses children hospitalized common bacterial infections interventions targeting culture change communication associated sustained improvement