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Showing 24 Results

Physician Engagement at Alabama Hospital is Key to Reducing Sepsis Mortality

In early 2023, the quality department at DeKalb Regional Medical Center (DRMC) – a 134-bed, full-service hospital in Fort Payne, Alabama–selected sepsis mortality as a performance improvement project. Although the sepsis bundle compliance rates were quite good as compared to the sepsis mortality rates, the team was curious about why their sepsis bundle compliance outperformed […]


Contract Pharmacy Improves Antibiotic Stewardship in a Rural Community

An increased focus on antibiotic stewardship (ABS) began for Trego County-Lemke Memorial Hospital, a 25-bed critical access hospital in WaKeeney, Kansas, about two years ago, shortly after the Kansas Department of Health and Environment (KDHE) released a statewide heat map showing the prevalence of E. coli resistance. This report included a ratio of antibiotic usage, […]


Core Elements of Antibiotic Stewardship: #3 Pharmacy Expertise and #4 Action

In November 2022, the CDC released Priorities for Hospital Core Element Implementation (Priorities) as supplemental guidance to help enhance the quality and impact of existing ASPs. The Priorities Table highlights highly effective implementation approaches and is supported by evidence and stewardship experts. Like the Hospital Core Elements, the uptake of the Priorities is tracked and reported […]


Intermountain Health: Opioid Stewardship Health System Perspective

Intermountain Health reduced the number of opioid tablets prescribed to patients in acute pain by 3.8 million in 2018 and nearly 13 million cumulatively through June of 2023, reducing the risk of opioid dependency and misuse in Utah. In the early 2000s, the opioid epidemic hit the state of Utah and saw opioid overdose deaths […]


Oregon Hospital Improves Use of Prescription Drug Monitoring Program (PDMP)

Lake Health District Hospital, a 24-bed critical access hospital in Lakeview, Oregon, implemented steps to improve the safe use of opioids in their facility. Alena Acklin, process and quality improvement coordinator, chose to focus on the Prescription Drug Monitoring Programs (PDMPs) as an important step to improve opioid prescribing practices. As part of this work, […]


Mobile Infirmary in Alabama Improves Sepsis Bundle Compliance and Reduces Sepsis Mortality

Mobile Infirmary in Mobile, Alabama, is the largest non-governmental hospital in Alabama, with 669 licensed beds and 14 beds at Saraland Freestanding Emergency Department. In early 2016, a multidisciplinary committee was initiated to focus on the sepsis core measure and compliance after identifying the need for improvement. The committee approved nurse/pharmacy/ provider education, order sets, and […]



Critical Access Hospital in Utah Implements Plan to Reduce Readmissions

As part of the HQIC program, Blue Mountain Hospital, an 11-bed critical access hospital located in Blanding, UT, reviewed their data to establish improvement priorities. The compliance program manager, Cari Spillman, MBAHM, CHCO, CIC, chose to work on reducing readmissions because of the impact on patients and the surrounding community of Blanding. Several gaps in […]



Elbert Memorial Hospital Reduces Hospital-Acquired Infections

Elbert Memorial Hospital, a 25-bed critical access hospital in Elberton, GA, set out to reduce healthcare-acquired infections (HAIs) with a goal of 0 infections after an increase in early 2022. The team realized that just one patient contracting an HAI could be detrimental to the whole patient population. They focused on proper handwashing and teaching […]