Pediatric ASP Toolkit

Reporting

Methods to Collect Data

Pediatric Health Information Systems Database

Medication Administration Record Data

Best data to show if a patient receives an antibiotic. This data is recorded often through bar code medication administration.

NHSN Antibiotic Use and Resistance Modules
  • Through the National Healthcare Safety Network (NHSN), healthcare facilities can now electronically monitor antibiotic resistance and antibiotic prescribing data. This data would be provided to the CDC and could allow for benchmarking antibiotic use and resistance data.
  • Participation in these modules would also provide the participating institution with SAARs (refer to ‘Process Measures’ located under ‘Tracking Data’).

Pharmacy Dispensing Data

Less preferable than Medication Administration Record Data

Pharmacy Charge Data

Methods to Present the Data (PIDS and AAP do not endorse any commercial products)

Notes:

For those seeking to establish an ASP at their institution, a number of hospitals already utilize these tools for non-stewardship purposes:

  • Infection Control – surveillance and epidemiology
  • Pharmacy – workflow optimization
  • Microbiology – antibiogram development/maintenance

Check with the departments in your hospital to determine if access can also be obtained for ASP purposes: one way to offset ASP start-up expenditures.

Methods to Analyze and Compare Data

Pediatric Health Information Systems Database

NHSN AUR Modules

Sharing Antimicrobial Reports for Pediatric Stewardship (SHARPS) Collaborative

Antimicrobial stewardship collaborative among children’s hospitals located throughout the U.S. and internationally.

  • The collaborative’s mission is to utilize prescribing data for development of interventions to improve the safety and clinical outcomes of children who receive antimicrobials and to decrease the rate at which antimicrobial resistance develops.
  • Member institutions share antimicrobial use data to develop customized antimicrobial use reports for benchmarking. SHARPS also provides opportunities for shared learning with monthly webinars, an email listserv for participants to ask stewardship-related questions of peers, and an annual in-person meeting at the International Pediatric Antimicrobial Stewardship Conference.

Newland JG, Gerber JS, Kronman MP, et al. Sharing Antimicrobial Reports for Pediatric Stewardship (SHARPS): A Quality Improvement CollaborativeJ Pediatric Infect Dis Soc. 2018; 7(2): 124-128.

McPherson C, Lee BR, Terrill C, et al. Characteristics of Pediatric Antimicrobial Stewardship Programs: Current Status of the Sharing Antimicrobial Reports for Pediatric Stewardship (SHARPS) CollaborativeAntibiotics(Basel). 2018; 7(1).

Children’s Hospitals’ Solutions for Patient Safety (SPS) Antimicrobial Stewardship Program Cohort

SPS is a collaborative of children’s hospitals located throughout the U.S. and Canada focused on reduction of harms via cooperative approaches to patient care.

  • The collaborative’s mission is to work together to eliminate serious harm across all children’s hospitals, so that every child receives safe care every time.
  • Antimicrobial Stewardship Program Cohort member institutions work together to develop, implement and test antimicrobial stewardship interventions and submit monthly usage data pertaining to the interventions. Participation in monthly webinars and sharing of successes/challenges related to intervention implementation is expected.

SPS Antimicrobial Stewardship Operational Definition

SPS Antimicrobial Stewardship Key Driver Diagram Example

Improving the health of children worldwide through philanthropic support of scientific and educational programs.