A5040064051- Antibiotic Use and Resistance
- Bacterial Identification and Susceptibility Testing
- Antibiotics Pharmacokinetics and Efficacy
- Pharmaceutical Practices and Patient Outcomes
- Central Venous Catheters and Hemodialysis
- Patient Satisfaction in Healthcare
- Trauma and Emergency Care Studies
- Healthcare cost, quality, practices
- Ultrasound in Clinical Applications
- Emergency and Acute Care Studies
- Cardiac Arrest and Resuscitation
- Global Maternal and Child Health
- COVID-19 and healthcare impacts
- Antibiotic Resistance in Bacteria
- Sepsis Diagnosis and Treatment
- Heart Failure Treatment and Management
- Pharmaceutical studies and practices
- Healthcare Systems and Technology
- Vaccine Coverage and Hesitancy
- Biomedical Ethics and Regulation
- Infection Control and Ventilation
- Pharmaceutical Economics and Policy
- Urinary Tract Infections Management
- Biosimilars and Bioanalytical Methods
- Health and Medical Research Impacts
Campbell University
2009-2023
Duke University
2009-2023
Duke Medical Center
1988-2022
Duke University Hospital
1988-2022
Covenant Health
2020-2021
Misericordia Community Hospital
2020
Ibero American University
2015
Abstract Background Antimicrobial resistance has been named as one of the top ten threats to public health in world. Hospital-based antimicrobial stewardship programs (ASPs) can help reduce resistance. The purpose this study was determine perceived barriers development and implementation ASPs tertiary care centers three low- middle-income countries (LMICs). Methods Interviews were conducted with 45 physicians at hospitals Sri Lanka (n = 22), Kenya (12), Tanzania (11). assessed knowledge...
In 2007, the Infectious Diseases Society of America and for Healthcare Epidemiology published a document that addressed major considerations justification, description, conduct antimicrobial stewardship programs. Our is intended to continue dialogue these formalized programmatic strategies. We briefly review guidelines, including two primary strategies (prospective auditing with feedback, preauthorization), supplemental (education, information technology, transitional therapy, deescalation...
Recently created guidelines for the development of institutional antimicrobial stewardship programs recommend that a pharmacist with infectious diseases training be included as core member team. However, and certification requirements diseases-trained clinical pharmacists have not been established. Although nurtured their interest in by self-directed learning or on-the-job experiences, this mode is considered feasible sufficient reliable future specialists diseases. This document, therefore,...
In response to a facility-wide COVID-19 outbreak, our tertiary acute care hospital implemented an evidence-based bundle of infection control practices including the use audits and trained observers "dofficers" provide real-time constructive feedback.We furloughed staff perform role dofficer. They offered support corrective feedback on proper PPE completed 21-point during 4-week intervention period. Audits tracked appropriate signage, placement availability supplies (equipment), correct use,...
This study aimed to determine the feasibility of using likelihood inadequate therapy (LIT), a parameter calculated by pathogen frequency and in vitro susceptibility for determination appropriate empiric antibiotic primary bloodstream infections. Our demonstrates that LIT may reveal differences traditional antibiograms.
Abstract Policies that promote conversion of antibiotics from intravenous to oral route administration are considered “low hanging fruit” for hospital antimicrobial stewardship programs. We developed a simple metric based on digestive days therapy divided by total targeted agents and method comparisons. External comparisons may help identify opportunities improving prospective implementation.
An analysis of individual and department triage variances to identify, quantify, improve markers nurse accuracy. Rebecca Cotton, Richard Drew, Matthew Douma, Domhnall O’Dochartaigh, Candice Keddie, Karen Muncaster, Christopher Picard Background: Canadian Emergency Departments (ED) use the five-point Triage Acuity Scale (CTAS) sort prioritize patients according acuity. CTAS scores are used make decisions on patient flow, staffing complement, funding. Despite this, there is a paucity...
Background. Intravenous to oral (IV-PO) switch policies are a simple antimicrobial stewardship intervention designed improve patient care and save money. Comparison of measurements total utilization targeted, high bioavailability antimicrobials in individual hospitals may help implementation IV-PO policies. Methods. We performed retrospective cohort analysis 14 enrolled the Duke Antibiotic Stewardship Outreach Network evaluate efficiency for targeted drugs: azithromycin, ciprofloxacin,...
Dans un monde où les exigences de sécurité sont omniprésentes, harnais antichute devenus monnaie courante pour personnes qui travaillent en hauteur. Les et dispositifs aujourd’hui fréquemment utilisés dans l’industrie la construction, l’alpinisme autres activités récréatives comportant risque chute. Grâce à législation sur santé au travail, aux programmes prévention lieux travail culture réduction des risques on comprend mieux quand comment porter antichute, ainsi que dangers potentiels...
Background: 
 Medical cardiac arrest care in Edmonton Zone Emergency Departments does not undergo structured quality monitoring or continuous improvement. Prior to this work, indicators had been selected, nor tracking reporting activities undertaken. This work brings the EDs forefront of improvement recommendations made by Heart and Stroke Canada American Association that are believed improve both patient outcomes overall system performance.
 For project indicator development...
Fall harnesses have become much more prevalent for those that work at heights. Safety and fall arrest systems are commonly used by the construction industry, mountain climbers other recreational activities where risks a concern. Through efforts of occupational health safety legislation, job site programming workplace harm reduction culture, there is growing understanding how when to don these devices potential perils associated with their use. However, paucity information within healthcare...
The clinical effects of CPR meter on chest compression quality: a QI project.
 Christopher Picard, Richard Drew, Domhnall O’Dochartaigh, Matthew J Douma, Candice Keddie, Colleen Norris.
 Background: High-quality compressions are the cornerstone resuscitation. Training guidelines require feedback, and pre-clinical data shows that feedback devices improve quality; but not being used in many emergency departments, their impact care is less well understood. Some services use...
Ultrasound guidance can increase peripheral vein cannulation success by nurses in the Emergency Department (ED). Unfortunately, ED are not routinely trained to use ultrasonography for and may have access required equipment.