title: Eight Habits of Highly Effective Antimicrobial Stewardship Programs to Meet the Joint Commission Standards for Hospitals.
abstract: In an effort to decrease antimicrobial resistance and inappropriate antibiotic use, The Joint Commission (TJC) recently issued new antimicrobial stewardship standards, consisting of 8 elements of performance, applicable to hospitals effective January 1, 2017. These standards coincide with those recommended by the Infectious Diseases Society of America (IDSA) and the Society of Healthcare Epidemiology (SHEA) guidelines. Little guidance exists on the "how" from these guidance documents. We review the 8 standards and provide real-world experience from established antimicrobial stewardship programs (ASPs) on how institutions can comply with these guidelines to reduce inappropriate antibiotic usage, decrease antimicrobial resistance, and optimize patient outcomes. TJC antimicrobial stewardship standards demonstrate actions being taken at the national level to make quality and patient safety a priority.
authors.affiliation: The Ohio State University Wexner Medical Center, The Ohio State University College of Pharmacy, Columbus, Ohio, USA.
authors.forename: Debra A
authors.initials: DA
authors.lastname: Goff
authors.affiliation: MRL, Merck & Co., Inc., Kenilworth, New Jersey, USA.
authors.forename: Ravina
authors.initials: R
authors.lastname: Kullar
authors.affiliation: MRL, Merck & Co., Inc., Kenilworth, New Jersey, USA.
authors.forename: Karri A
authors.initials: KA
authors.lastname: Bauer
authors.affiliation: Ohio Medical University; and Summa Health, Division of Infectious Disease, Akron, Ohio, USA.
authors.forename: Thomas M
authors.initials: TM
authors.lastname: File
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D003141:Communicable Diseases / Q000188:drug therapy*; D004363:Drug Utilization / Q000592:standards*; D019983:Guideline Adherence; D006761:Hospitals; D006801:Humans; D017410:Practice Guidelines as Topic; D014481:United States
chemical_list: D000900:Anti-Bacterial Agents
keywords: antimicrobial resistance; antimicrobial stewardship; joint commission standards