title: Sharing Antimicrobial Reports for Pediatric Stewardship (SHARPS): A Quality Improvement Collaborative.
abstract: BACKGROUND
  Although many children's hospitals have established antimicrobial stewardship programs (ASPs), data-driven benchmarks for optimizing antimicrobial use across centers are lacking. We developed a multicenter quality improvement collaborative focused on sharing data reports and benchmarking antimicrobial use to improve antimicrobial prescribing among hospitalized children.
  
  
  METHODS
  A national antimicrobial stewardship collaborative among children's hospitals, Sharing Antimicrobial Reports for Pediatric Stewardship (SHARPS), was established in 2013. Characteristics of the hospitals and their ASPs were obtained through a standardized survey. Antimicrobial-use data reports were developed on the basis of input from the participating hospitals. Collaborative learning opportunities were provided through monthly webinars and annual meetings.
  
  
  RESULTS
  Since 2013, 36 US hospitals have participated in the SHARPS collaborative. The median full-time equivalent (pharmacist and physician) dedicated to 30 of these ASPs was 0.75 (interquartile range, 0.45-1.4). To date, the collaborative has developed 26 data reports that include benchmarking reports according to specific antimicrobial agents, indications, and clinical service lines. The collaborative has conducted 27 webinars and 3 in-person meetings to highlight the stewardship work being conducted in the hospitals. The data reports and learning opportunities have resulted in approximately 36 distinct stewardship interventions.
  
  
  CONCLUSIONS
  A pediatric antimicrobial stewardship collaborative has been successful in promoting the development of and innovation among pediatric ASPs. Additional research is needed to determine the impact of these efforts.
authors.affiliation: Division of Pediatric Infectious Diseases, Washington University in St. Louis School of Medicine, Missouri.
authors.forename: Jason G
authors.initials: JG
authors.lastname: Newland
authors.affiliation: Division of Infectious Diseases, Children's Hospital of Philadelphia, Pennsylvania.|Department of Biostatistics and Epidemiology, Perelman School of Medicine of the University of Pennsylvania, Philadelphia.
authors.forename: Jeffrey S
authors.initials: JS
authors.lastname: Gerber
authors.affiliation: Division of Pediatric Infectious Diseases, University of Washington, Seattle.|Center for Clinical and Translational Research, Seattle Children's Hospital Research Institute, Washington.
authors.forename: Matthew P
authors.initials: MP
authors.lastname: Kronman
authors.affiliation: Division of Pediatric Infectious Diseases, Children's Mercy Hospital and Clinics, Kansas City, Missouri.
authors.forename: Georgann
authors.initials: G
authors.lastname: Meredith
authors.affiliation: Division of Pediatric Infectious Diseases, Children's Mercy Hospital and Clinics, Kansas City, Missouri.|Health Services and Outcomes Research, Children's Mercy Hospital and Clinics, Kansas City, Missouri.
authors.forename: Brian R
authors.initials: BR
authors.lastname: Lee
authors.affiliation: Children's Hospital Association, Statistical Analysis Services, Washington, DC.
authors.forename: Cary
authors.initials: C
authors.lastname: Thurm
authors.affiliation: Division of Pediatric Infectious Diseases, University of Utah School of Medicine, Salt Lake City.
authors.forename: Adam L
authors.initials: AL
authors.lastname: Hersh
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D000073602:Antimicrobial Stewardship; D019985:Benchmarking; D006776:Hospitals, Pediatric / Q000592:standards*; D006801:Humans; D033181:Information Dissemination; D007373:Interinstitutional Relations; D000067490:Prescription Drug Overuse / Q000517:prevention & control*; D058996:Quality Improvement; D014481:United States
chemical_list: D000900:Anti-Bacterial Agents