Antibiotics Clinical Trial
Official title:
Building a Novel Antibiotic Stewardship Intervention for Nursing Homes
The OASIS Collaborative is an organizational intervention aimed at reducing unnecessary
antibiotic use in skilled nursing facilities. The first target of intervention is the tasks
carried out by nursing staff after a change in condition and after an antibiotic prescription
is initiated. The second target are the management staff who provide feedback to staff. The
third target are the administrators who identify and overcome organizational barriers to
implementation.
In this study, we will implement two tools that are intended to minimize unnecessary
antibiotic use in skilled nursing facilities. The first tool helps skilled nursing facility
staff assess risk and communicate with prescribers when residents experience a change in
health status that may result in the use of antibiotics. The second tool is used after an
antibiotic is prescribed; the tool streamlines reassessment of the patient, and provides
prescribers the opportunity to consider stopping unnecessary antibiotic prescriptions,
narrowing the spectrum of antibiotic therapy, or shortening the duration of antibiotic
therapy.
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