Handshake Stewardship

Hurst, Amanda L.; Child, Jason; Pearce, Kelly; Palmer, Claire; Todd, James K.; Parker, Sarah K.

doi:10.1097/inf.0000000000001245

Cited by 136 publications

(64 citation statements)

References 18 publications

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“…Our survey supports current literature that the preferred delivery model of prospective audit and feedback amongst critical care physicians involves face-to-face interaction [13]. This reinforces the importance of approaches that foster collaboration, convey trust and optimize communication amongst key stakeholders [18][19].…”

Section: Discussionsupporting

confidence: 84%

“…Alternatively, prospective audit and feedback strategies may be more suitable in critical care environments if they increase capacity and engagement with prescribers [7,17]. Handshake stewardship has emerged as an extended derivative of prospective audit and feedback that places emphasis on three main components: lack of restriction and preauthorization, pharmacist-physician review of all antimicrobials and a rounding-based, in-person approach to feedback carried out by a pharmacist-physician team [18][19].…”

Section: Introductionmentioning

confidence: 99%

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Attitudes and Perceptions amongst Critical Care Physicians towards Handshake Antimicrobial Stewardship Rounds

Evans

Kosar

Peermohamed

2019

Cureus

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In an era of antimicrobial resistance, antimicrobial stewardship programs are tasked with reducing inappropriate use of antimicrobials in community and hospital settings. Intensive care units are unique, high-stakes environments where high usage of broad-spectrum antimicrobials is often seen. Handshake stewardship has emerged as an effective mode of prospective audit and feedback to help optimize antimicrobial usage, emphasizing an in-person approach to providing feedback. Objectives Six months following the implementation of handshake stewardship rounds in our intensive care unit, we performed a cross-sectional survey of critical care physicians to assess their attitudes and perceptions towards handshake stewardship rounds and preferred mode of delivery of antimicrobial stewardship prospective audit and feedback strategies. Methods A web-based survey was distributed to 22 critical care physicians working in our hospital and responses were collected over a two-week period. Measurements and Main Results Most critical care physicians believe that handshake stewardship rounds improve the quality of patient care (85.7%) and few believe that handshake stewardship rounds are an ineffective use of their time (14.3%). The majority of critical care physicians believe formal, scheduled rounds with face-to-face verbal interaction are very useful compared to providing written suggestions in the absence of face-to-face interaction (71.4% vs 0%). Conclusions Based upon our survey results, handshake stewardship is valued amongst the majority of critical care physicians. Antimicrobial stewardship prospective audit and feedback strategies emphasizing face-to-face interaction are favored amongst critical care physicians.

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Attitudes and Perceptions amongst Critical Care Physicians towards Handshake Antimicrobial Stewardship Rounds

Evans

Kosar

Peermohamed

2019

Cureus

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“…No change was seen in clinical outcomes of CDI, readmission rate, or mortality. The findings of this study highlight the benefit of “handshake stewardship,” a term first coined by Hurst and colleagues [ 36 ]. Although face-to-face rounds have proven impactful on antimicrobial use, the time requirements can be rate-limiting.…”

Section: Resultssupporting

confidence: 58%

A Baker’s Dozen of Top Antimicrobial Stewardship Intervention Publications in 2019

Stover

Chahine

Cluck

et al. 2020

Open Forum Infectious Diseases

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Staying current on literature related to antimicrobial stewardship can be challenging given the ever-increasing number of published articles. The Southeastern Research Group Endeavor (SERGE-45) identified antimicrobial stewardship-related peer-reviewed literature that detailed an actionable intervention for 2019. The top 13 publications were selected using a modified Delphi technique. These manuscripts were reviewed to highlight the actionable intervention used by antimicrobial stewardship programs to provide key stewardship literature for teaching and training as well as to identify potential intervention opportunities within one’s institution

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“…Drug allergies, drug-drug interactions, and dosing modifications are other examples of antimicrobial stewardship support factors that can be individualized by antimicrobial stewardship intervention but may not be easily communicated in clinical practice guidelines. The "handshake stewardship" approach of engaging in a two-way conversation, with an infectious disease-trained physician or pharmacist learning about the specific patient scenario from the provider directly caring for the patient and providing specialized antimicrobial recommendations, allows for the optimal exchange of information (30).…”

Section: Antimicrobial Stewardshipmentioning

confidence: 99%

Implementation of Rapid Molecular Infectious Disease Diagnostics: the Role of Diagnostic and Antimicrobial Stewardship

et al. 2017

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New rapid molecular diagnostic technologies for infectious diseases enable expedited accurate microbiological diagnoses. However, diagnostic stewardship and antimicrobial stewardship are necessary to ensure that these technologies conserve, rather than consume, additional health care resources and optimally affect patient care. Diagnostic stewardship is needed to implement appropriate tests for the clinical setting and to direct testing toward appropriate patients. Antimicrobial stewardship is needed to ensure prompt appropriate clinical action to translate faster diagnostic test results in the laboratory into improved outcomes at the bedside. This minireview outlines the roles of diagnostic stewardship and antimicrobial stewardship in the implementation of rapid molecular infectious disease diagnostics.

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Handshake Stewardship

Abstract: The handshake stewardship approach is an effective strategy for an antimicrobial stewardship program, as demonstrated by the widespread and significant decrease in antimicrobial use after implementation.

Cited by 136 publications

References 18 publications

Attitudes and Perceptions amongst Critical Care Physicians towards Handshake Antimicrobial Stewardship Rounds

Attitudes and Perceptions amongst Critical Care Physicians towards Handshake Antimicrobial Stewardship Rounds

A Baker’s Dozen of Top Antimicrobial Stewardship Intervention Publications in 2019

Implementation of Rapid Molecular Infectious Disease Diagnostics: the Role of Diagnostic and Antimicrobial Stewardship

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