Emergency Department (ED) Antibiotic Stewardship Collaborative

Region(s) served: Statewide
Project dates: March 2018–November 2019

Overview

The HAI Program collaborated with an academic partner at University of California, Davis to convene a statewide ED antibiotic stewardship collaborative. Participating ED used the MITIGATE toolkit to guide project planning. Each participating ED developed an antibiotic stewardship quality improvement project. Our academic partner provided one-on-one consultative support to each ED to plan and launch their respective projects. The HAI Program provided optional ED provider surveys to measure prescribing knowledge and behaviors at each site. Participating EDs reported on progress and challenges at biannual in-person meetings.

Goals and Objectives

Reduce inappropriate antibiotic prescribing in ED settings through the following objectives:

• Raise awareness of inappropriate antibiotic prescribing and opportunities for antibiotic stewardship in ED settings 
• Engage and empower ED staff to view antibiotic prescribing as a quality and patient safety issue 
• Share ED-specific antibiotic prescribing and stewardship tools and best practices 
• Provide a forum to exchange practical strategies for overcoming barriers to stewardship interventions in ED settings

Participating Facilities and Organizations

• 15 ED
  
• Los Angeles County Department of Public Health
  

MITIGATE Resources

• MITIGATE toolkit
• A Multifaceted Intervention Improves Prescribing for Acute Respiratory Infection for Adults and Children in Emergency Department and Urgent Care Settings

For more information on the ED Antibiotic Resistance Prevention Collaborative, contact HAIProgram@cdph.ca.gov. ​