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Operationalizing an adverse event detection surveillance system to support antimicrobial stewardship activities: perceptions and insights from the SHEA research network

Published online by Cambridge University Press:  30 October 2024

Hawra J. Al Lawati*
Affiliation:
Beth Israel Deaconess Medical Center, Boston, MA, USA
Kimberly L. Harvey
Affiliation:
Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA
Marlena Shin
Affiliation:
Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA
Hillary Mull
Affiliation:
Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA Department of Surgery, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA
Rebecca P. Lamkin
Affiliation:
Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA
Samuel Golenbock
Affiliation:
Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA
Dipandita Basnet-Thapa
Affiliation:
Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA
Judith M. Strymish
Affiliation:
Department of Medicine, Section of Infectious Diseases, VA Boston Healthcare System, Boston, MA, USA Harvard Medical School, Boston, MA, USA
Matthew Lee
Affiliation:
Beth Israel Deaconess Medical Center, Boston, MA, USA
Howard Gold
Affiliation:
Beth Israel Deaconess Medical Center, Boston, MA, USA
Matthew Bidwell Goetz
Affiliation:
Greater Los Angeles VA Healthcare System, Los Angeles, CA, USA University of California, Los Angeles School of Medicine, Los Angeles, CA, USA
Westyn Branch-Elliman
Affiliation:
Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA Department of Medicine, Section of Infectious Diseases, VA Boston Healthcare System, Boston, MA, USA Harvard Medical School, Boston, MA, USA
*
Corresponding author: Hawra J. Al Lawati; Email: [email protected]

Abstract

A surveillance system for measuring patient-level antimicrobial adverse drug events (ADE) may support stewardship activities, however, design and implementation questions remain. In this national survey, stewardship experts favored simple, laboratory-based ADE definitions although there were tensions between feasibility, ability to identify attribution without chart review, and importance of specific ADE.

Type
Concise Communication
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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References

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