The hospital has an active antibiotic stewardship program.

(1)

The hospital has a multidisciplinary committee that oversees the antibiotic stewardship program. Note 1: The committee may be composed of representatives from the medical staff, pharmaceutical services, the infection prevention and control program, nursing services, microbiology, information technology, and the quality assessment and performance improvement program. Note 2: The committee may include part-time or consultant staff. Participation may occur on site or remotely.

(2)

The antibiotic stewardship program monitors the hospital’s antibiotic use by analyzing data on days of therapy per 1,000 days present or 1,000 patient days or by reporting antibiotic use data to the National Healthcare Safety Network’s Antimicrobial Use Option of the Antimicrobial Use and Resistance Module.