Beyond implementation: Uncovering the parallels between de-implementation and antimicrobial stewardship. Issue 1 (17th April 2023)

• Record Type: Journal Article
• Authors: Advani, Sonali D.; McKay, Virginia
• Is Part Of: Antimicrobial stewardship & healthcare epidemiology. Volume 3:Issue 1(2023)
• Publication Date: 2023-04-17
• Subjects: Anti-infective agents -- Periodicals; Nosocomial infections -- Prevention -- Periodicals; Epidemiology -- Periodicals; 614.44
• DOI: 10.1017/ash.2023.150
• Languages: English
• ISSNs: 2732-494X

Abstract

Abstract: De-implementation is defined as the process of discontinuing, removing, reducing, or replacing a harmful, ineffective, or low-value clinical practice or intervention. The goal of de-implementation strategies is to minimize patient harm, maximize use of resources, and reduce healthcare costs and inequities. Both antibiotic and diagnostic stewardship programs focus on reducing low-value interventions (tests or antimicrobials). Stewardship interventions commonly involve de-implementation and deprescribing strategies. This commentary explores unique aspects of deimplementing low-value testing and unnecessary antimicrobial use, similarities between de-implementation and stewardship approaches, multilevel factors that impact de-implementation, and opportunities for future research.