Role of postgraduate year 2 pharmacy residents in providing weekend antimicrobial stewardship coverage in an academic medical center

Abstract

By expanding the hospital's ASP services by assigning PGY2 pharmacy residents to weekend coverage, the institution was able to provide high-level clinical care 7 days per week, which benefited both patients and PGY2 pharmacy residents while meeting national ASP regulatory requirements.

All aboard!: Involvement of medical and pharmacy trainees in antimicrobial stewardship

“…Overall, 5 articles specific to pharmacy trainee involvement in AS were identified. [21][22][23][24][25] Table 2 describes 4 of the articles in detail. The most common AS strategies used by pharmacy trainees in these publications were dose optimization and prospective audit with intervention and feedback.…”

“…Publications about Pharmacy Trainees' Involvement in AS Efforts[22][23][24][25] . AS, antimicrobial stewardship; APPE, advanced pharmacy practice experience; ID, infectious diseases; PGY, postgraduate year.…”

Multilayer Model of Pharmacy Participation in the Antimicrobial Stewardship Program at a Large Academic Medical Center

“…In July 2014, a PGY2 clinical weekend program was rolled out to extend pharmacist-driven ASP coverage to 7 days a week. 11 The present study took place from January 1 until December 31, 2015. Starting in January 2015, all pharmacists were integrated into ASP at different levels based on their participation in patient care ( Figure 1).…”

Evaluating the Need for Antibiotic Stewardship Prospective Audit and Feedback on Weekends

“…They demonstrated a numeric reduction in total antibiotic days of therapy with implementation of stewardship services on weekends: 799.3 versus 740.7 days of therapy per 1,000 patient days (P = .08). 3 This study is limited by a brief 2.5-week study period, which is subject to intraprescriber variability; therefore, the extrapolation to annual results may be not be accurate. Part of the study window occurred over a 3-day holiday weekend, which added delays to review and adjustment of therapy.…”

“…To our knowledge, this is the first analysis to quantify the impact of 72-hour stewardship follow-up being limited to weekdays. Previously, Sigfried et al 3 evaluated the impact of implementing a pharmacy-resident driven stewardship review on weekends and compared their results to a historic control period without stewardship review. They demonstrated a numeric reduction in total antibiotic days of therapy with implementation of stewardship services on weekends: 799.3 versus 740.7 days of therapy per 1,000 patient days ( P =.08) 3 …”