Quality indicators for hospital antimicrobial stewardship programmes: a systematic review

O'Riordan, Frank; Shiely, Frances; Byrne, Stephen; Fleming, Aoife

Access to this article is restricted until 12 months after publication by request of the publisher.. Restriction lift date: 2022-03-31

Quality indicators for hospital antimicrobial stewardship programmes: a systematic review

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dc.check.date	2022-03-31
dc.check.info	Access to this article is restricted until 12 months after publication by request of the publisher.	en
dc.contributor.author	O'Riordan, Frank
dc.contributor.author	Shiely, Frances
dc.contributor.author	Byrne, Stephen
dc.contributor.author	Fleming, Aoife
dc.date.accessioned	2021-07-06T13:56:47Z
dc.date.available	2021-07-06T13:56:47Z
dc.date.issued	2021-03-31
dc.date.updated	2021-07-06T13:39:48Z
dc.description.abstract	Measuring the quality and effectiveness of antimicrobial stewardship (AMS) programmes with quality indicators (QIs) is an area of increasing interest. We conducted a systematic review to identify QIs of AMS programmes in the hospital setting and critically appraise their methodological quality. We searched the Cochrane Library, PubMed, MEDLINE, EMBASE, CINAHL, Scopus/web of science databases and the grey literature for studies that defined and/or described the development process and characteristics of the QIs developed. The Appraisal of Indicators through Research and Evaluation (AIRE) instrument was used to critically appraise the methodological quality of the QI sets. We identified 16 studies of QI sets consisting of 229 QIs. The QI sets addressed a broad range of areas of AMS in the hospital setting and consisted of 75% process indicators, 24% structural indicators and 1% outcome indicators. There was a wide variation in the information and level of detail presented describing the methodological characteristics of the QI sets identified. The QIs identified in this study focused on process and structural indicators with few outcome indicators developed-a major deficiency in this area. Future research should focus on the development of outcome indicators or the use of process or structural indicators linked to outcomes to assess AMS. Testing of the QIs in practice is an essential methodological element of the QI development process and should be included in the QI development study or as planned validation work.	en
dc.description.status	Peer reviewed	en
dc.description.version	Accepted Version	en
dc.format.mimetype	application/pdf	en
dc.identifier.citation	O'Riordan, F., Shiely, F., Byrne, S. and Fleming, A. (2021) 'Quality indicators for hospital antimicrobial stewardship programmes: a systematic review', Journal of Antimicrobial Chemotherapy, 76(6), pp. 1406-1419. doi: 10.1093/jac/dkab034	en
dc.identifier.doi	10.1093/jac/dkab034	en
dc.identifier.eissn	1460-2091
dc.identifier.endpage	1419	en
dc.identifier.issn	0305-7453
dc.identifier.issued	6	en
dc.identifier.journaltitle	Journal of Antimicrobial Chemotherapy	en
dc.identifier.startpage	1406	en
dc.identifier.uri	https://hdl.handle.net/10468/11540
dc.identifier.volume	76	en
dc.language.iso	en	en
dc.publisher	Oxford University Press	en
dc.rights	© 2021, the Authors. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved.	en
dc.subject	Quality indicators	en
dc.subject	Structural indicators	en
dc.title	Quality indicators for hospital antimicrobial stewardship programmes: a systematic review	en
dc.type	Article (peer-reviewed)	en