Antimicrobial stewardship programme implementation in the UAE: perspectives of key stakeholders using Consolidated Framework for Implementation Research

Hashad, Nortan; Stewart, Derek; Perumal, Dhayaneethie; Abdulrazzaq, Najiba; Tonna, Antonella

doi:10.1016/j.jhin.2023.05.003

Cited by 2 publications

(2 citation statements)

References 29 publications

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“…This adaptability was demonstrated through the involvement in developing national guidelines for the treatment of COVID-19 patients and the active contribution to guideline management and monitoring [59]. Despite the initial disruptions caused by the pandemic, a gradual restoration of ASP activities was reported by Hashad et al in the UAE, highlighting the resilience and commitment of healthcare professionals in maintaining ASP activities [59,60].…”

Section: Discussionmentioning

confidence: 99%

Improving Antimicrobial Stewardship Program Using the Lean Six Sigma Methodology: A Descriptive Study from Mediclinic Welcare Hospital in Dubai, the UAE

Sallam,

Snygg

2023

Healthcare

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Background: Antimicrobial resistance (AMR) is one of the key challenges in healthcare, and effective antimicrobial stewardship programs (ASPs) can play a vital role to control it. The aim of the current study was to assess the impact of the Lean Six Sigma (LSS) methodology on a hospital-wide ASP. Methods: This retrospective descriptive study was conducted at Mediclinic Welcare Hospital (MWEL), Dubai, the United Arab Emirates (UAE). The critical-to-quality (CTQs) data were collected pre/post interventions, including leadership support, guideline implementation, and audits. The study focused on inpatients who received antimicrobials from January 2021 to July 2022, analyzing ASP metrics (utilization, processes, and outcome measures). Results: The ASP improvements led to an 81.7% decrease in hospital’s parenteral antimicrobial expenses from January 2021 to July 2022, and a 54.2% reduction in antimicrobial usage while maintaining clinical outcomes. The average defined daily dose per 100 bed-days drop of 12.5% further demonstrated this positive trend. The intervention was not accompanied by higher nosocomial infection rates, longer stays, or mortality. Additionally, intervention led to better compliance with surgical prophylaxis bundles, antimicrobial protocols, hand hygiene and other ASP CTQ metrics. Conclusions and recommendations: This study emphasized the significance of implementing the LSS methodology in addressing process variations, enhancing ASP outcomes, and reducing antimicrobial use. These findings can inform health policymakers to improve future ASP outcomes. Additionally, sustainability through continuous monitoring and ongoing education initiatives should be considered to ensure the long-term success of these improvements.

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Section: Discussionmentioning

confidence: 99%

Improving Antimicrobial Stewardship Program Using the Lean Six Sigma Methodology: A Descriptive Study from Mediclinic Welcare Hospital in Dubai, the UAE

Sallam,

Snygg

2023

Healthcare

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“…1.1. Sistem Informasi Manajemen Rumah Sakit Menurut [7], Sistem Informasi Manajemen Rumah Sakit (SIM-RS) adalah sistem yang terdiri dari perangkat keras dan lunak yang mengintegrasikan data kesehatan pasien, termasuk data administratif, klinis, dan keuangan.…”

Section: Control Objectives For Information and Relatedunclassified

Audit Keamanan Sistem Informasi Manajemen Rumah Sakit Dengan Framework COBIT 2019 Pada RSUD Palembang BARI

Algiffary,

M. Izman Herdiansyah,

Yesi Novaria Kunang

2023

J. Appl. Comput. Sci. Technol.

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This study examines the implementation of information system at RSUD Palembang BARI with the aim of enhancing information system security. In this context, a security audit is conducted using the COBIT 2019 framework. The COBIT 2019 domains and processes utilizing include EDM03, APO12, APO13, APO14, and DSS05. The research involves the identification and evaluation of information security risks, determination of necessary security controls, and ensuring compliance with the information security standards established by COBIT 2019. The findings indicate that the level of information system security at RSUD Palembang BARI is at level 3 (Defined), with a gap analysis difference of 1 level below the expected target. Based on the above results, efforts to improve and enhance the information system security at RSUD Palembang BARI are still needed. The use of information system security techniques such as vulnerability scanning, penetration testing, WAF, IDS and IPS, and data encryption, as well as improving security in terms of server physical aspects such as installing CCTV and restricting user access with access cards or fingerprints, can be implemented to ensure compliance with relevant information security standards. Consideration for obtaining security certifications, like ISO 27001, should also be taken. Additionally, the quality of human resources in terms of policy-making and the ability of employees to address threats and attacks on information system security should be improved through training and strengthening coordination among employees.

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Antimicrobial stewardship programme implementation in the UAE: perspectives of key stakeholders using Consolidated Framework for Implementation Research

Cited by 2 publications

References 29 publications

Improving Antimicrobial Stewardship Program Using the Lean Six Sigma Methodology: A Descriptive Study from Mediclinic Welcare Hospital in Dubai, the UAE

Improving Antimicrobial Stewardship Program Using the Lean Six Sigma Methodology: A Descriptive Study from Mediclinic Welcare Hospital in Dubai, the UAE

Audit Keamanan Sistem Informasi Manajemen Rumah Sakit Dengan Framework COBIT 2019 Pada RSUD Palembang BARI

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