{"id":"https://openalex.org/W2902249283","doi":"https://doi.org/10.1093/ofid/ofy210.211","title":"198. Pharmacist-Led Antimicrobial Prompting During Interdisciplinary Team Rounds as a Novel Antimicrobial Stewardship Intervention","display_name":"198. Pharmacist-Led Antimicrobial Prompting During Interdisciplinary Team Rounds as a Novel Antimicrobial Stewardship Intervention","publication_year":2018,"publication_date":"2018-11-01","ids":{"openalex":"https://openalex.org/W2902249283","doi":"https://doi.org/10.1093/ofid/ofy210.211","mag":"2902249283"},"language":"en","primary_location":{"id":"doi:10.1093/ofid/ofy210.211","doi":"https://doi.org/10.1093/ofid/ofy210.211","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ofid/ofy210.211","pdf_url":null,"source":{"id":"https://openalex.org/S2735126445","display_name":"Open Forum Infectious Diseases","issn_l":"2328-8957","issn":["2328-8957"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open Forum Infectious Diseases","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1093/ofid/ofy210.211","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5061757798","display_name":"Alisha Skinner","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801983979","display_name":"Denver Health Medical Center","ror":"https://ror.org/01fbz6h17","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801983979"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alisha Skinner","raw_affiliation_strings":["Internal Medicine, Denver Health Medical Center, Denver, Colorado"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, Denver Health Medical Center, Denver, Colorado","institution_ids":["https://openalex.org/I2801983979"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103132917","display_name":"Heather L. Young","orcid":"https://orcid.org/0000-0002-0706-5777","observed_orcids":["https://orcid.org/0000-0002-0706-5777"]},"institutions":[{"id":"https://openalex.org/I2801983979","display_name":"Denver Health Medical Center","ror":"https://ror.org/01fbz6h17","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801983979"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Heather Young","raw_affiliation_strings":["Infectious Diseases, Denver Health Medical Center, Denver, Colorado"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Infectious Diseases, Denver Health Medical Center, Denver, Colorado","institution_ids":["https://openalex.org/I2801983979"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000005791","display_name":"Kati Shihadeh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801983979","display_name":"Denver Health Medical Center","ror":"https://ror.org/01fbz6h17","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801983979"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kati Shihadeh","raw_affiliation_strings":["Acute Care Pharmacy, Denver Health Medical Center, Denver, Colorado"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Acute Care Pharmacy, Denver Health Medical Center, Denver, Colorado","institution_ids":["https://openalex.org/I2801983979"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062751081","display_name":"Bryan C. Knepper","orcid":"https://orcid.org/0000-0002-4073-5955","observed_orcids":["https://orcid.org/0000-0002-4073-5955"]},"institutions":[{"id":"https://openalex.org/I2801983979","display_name":"Denver Health Medical Center","ror":"https://ror.org/01fbz6h17","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801983979"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bryan Knepper","raw_affiliation_strings":["Patient Safety and Quality, Denver Health Medical Center, Denver, Colorado"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Patient Safety and Quality, Denver Health Medical Center, Denver, Colorado","institution_ids":["https://openalex.org/I2801983979"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5088165121","display_name":"Timothy C Jenkins","orcid":"https://orcid.org/0000-0002-1029-7085","observed_orcids":["https://orcid.org/0000-0002-1029-7085"]},"institutions":[{"id":"https://openalex.org/I2801983979","display_name":"Denver Health Medical Center","ror":"https://ror.org/01fbz6h17","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801983979"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Timothy C Jenkins","raw_affiliation_strings":["Denver Health, Denver, Colorado"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Denver Health, Denver, Colorado","institution_ids":["https://openalex.org/I2801983979"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I2801983979"],"apc_list":{"value":4053,"currency":"USD","value_usd":4053},"apc_paid":{"value":4053,"currency":"USD","value_usd":4053},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.18371736,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"5","issue":"suppl_1","first_page":"S86","last_page":"S87"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2402","display_name":"Applied Microbiology and Biotechnology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2402","display_name":"Applied Microbiology and Biotechnology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13970","display_name":"Pharmacy and Medical Practices","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3004","display_name":"Pharmacology"},"field":{"id":"https://openalex.org/fields/30","display_name":"Pharmacology, Toxicology and Pharmaceutics"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/antimicrobial-stewardship","display_name":"antimicrobial stewardship","score":0.8989999890327454},{"id":"https://openalex.org/keywords/pharmacist-intervention","display_name":"pharmacist intervention","score":0.8569999933242798},{"id":"https://openalex.org/keywords/guideline-concordant-prescribing","display_name":"guideline-concordant prescribing","score":0.8349999785423279},{"id":"https://openalex.org/keywords/antibiotic-duration","display_name":"antibiotic duration","score":0.8330000042915344},{"id":"https://openalex.org/keywords/urinary-tract-infection","display_name":"urinary tract infection","score":0.718999981880188},{"id":"https://openalex.org/keywords/skin-and-soft-tissue-infections","display_name":"skin and soft tissue infections","score":0.9950000047683716},{"id":"https://openalex.org/keywords/pneumonia","display_name":"pneumonia","score":0.9610000252723694},{"id":"https://openalex.org/keywords/physician-acceptance-of-recommendations","display_name":"physician acceptance of recommendations","score":0.7480000257492065}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8913491368293762},{"id":"https://openalex.org/C2776040555","wikidata":"https://www.wikidata.org/wiki/Q19903321","display_name":"Antimicrobial stewardship","level":4,"score":0.8827597498893738},{"id":"https://openalex.org/C160798450","wikidata":"https://www.wikidata.org/wiki/Q4230870","display_name":"Concordance","level":2,"score":0.7533291578292847},{"id":"https://openalex.org/C2779457091","wikidata":"https://www.wikidata.org/wiki/Q105186","display_name":"Pharmacist","level":3,"score":0.7049182653427124},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.6723604798316956},{"id":"https://openalex.org/C2780182762","wikidata":"https://www.wikidata.org/wiki/Q1630279","display_name":"Guideline","level":2,"score":0.6032904386520386},{"id":"https://openalex.org/C10446079","wikidata":"https://www.wikidata.org/wiki/Q155491","display_name":"Clinical pharmacy","level":3,"score":0.48473069071769714},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.48459160327911377},{"id":"https://openalex.org/C2777914695","wikidata":"https://www.wikidata.org/wiki/Q12192","display_name":"Pneumonia","level":2,"score":0.48457586765289307},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4657979905605316},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.42974719405174255},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.4141595959663391},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.39226293563842773},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.33745211362838745},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.2730555832386017},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.271317720413208},{"id":"https://openalex.org/C104863432","wikidata":"https://www.wikidata.org/wiki/Q614304","display_name":"Pharmacy","level":2,"score":0.2680521011352539},{"id":"https://openalex.org/C94665300","wikidata":"https://www.wikidata.org/wiki/Q63391344","display_name":"Antibiotic resistance","level":3,"score":0.20430296659469604},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C89423630","wikidata":"https://www.wikidata.org/wiki/Q7193","display_name":"Microbiology","level":1,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1093/ofid/ofy210.211","doi":"https://doi.org/10.1093/ofid/ofy210.211","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ofid/ofy210.211","pdf_url":null,"source":{"id":"https://openalex.org/S2735126445","display_name":"Open Forum Infectious Diseases","issn_l":"2328-8957","issn":["2328-8957"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open Forum Infectious Diseases","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:5223444","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC6253355","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:6253355","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6253355","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open Forum Infect Dis","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/ofid/ofy210.211","doi":"https://doi.org/10.1093/ofid/ofy210.211","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ofid/ofy210.211","pdf_url":null,"source":{"id":"https://openalex.org/S2735126445","display_name":"Open Forum Infectious Diseases","issn_l":"2328-8957","issn":["2328-8957"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open Forum Infectious Diseases","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9922999739646912,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3127637316","https://openalex.org/W7166149194","https://openalex.org/W2192979896","https://openalex.org/W2921050917","https://openalex.org/W4406952008","https://openalex.org/W2319683015","https://openalex.org/W7128909892","https://openalex.org/W3010282025","https://openalex.org/W2746316256","https://openalex.org/W2971974799"],"abstract_inverted_index":{"There":[0,181],"is":[1,249,261],"a":[2,19,62,95,250],"need":[3],"to":[4,22,140,189,197,209,244],"develop":[5],"successful":[6],"antibiotic":[7,27,121,202,247,252,270],"stewardship":[8,253],"interventions":[9],"that":[10,255],"do":[11],"not":[12,85,217,257],"require":[13,258],"ID":[14,259],"physicians.":[15],"Our":[16],"hospital":[17],"implemented":[18],"pharmacist-driven":[20],"intervention":[21,39,254],"prompt":[23],"critical":[24],"assessment":[25],"of":[26,37,125,149,155,166,177,223],"regimens":[28,248],"during":[29],"interdisciplinary":[30,75,239],"team":[31,76,143],"rounds.":[32],"We":[33,97],"evaluated":[34],"the":[35,41,79,91,120,141,186,228],"acceptance":[36],"this":[38],"and":[40,58,105,108,111,123,151,194,204,266],"effects":[42],"on":[43,61,146,152,157],"concordance":[44,207],"with":[45,87,129,221],"institutional":[46,88,130],"prescribing":[47,89,99],"guidance.":[48,131],"This":[49],"quality":[50],"improvement":[51],"initiative":[52],"took":[53],"place":[54],"between":[55,227],"November":[56],"2016":[57],"June":[59],"2017":[60],"medical":[63,142],"ward":[64],"in":[65,174,184],"an":[66],"urban,":[67],"level":[68],"1":[69],"trauma,":[70],"public":[71],"teaching":[72],"hospital.":[73],"During":[74,238],"rounds,":[77,240],"if":[78,119],"medicine":[80],"team\u2019s":[81],"antimicrobial":[82],"choice":[83],"was":[84,114,163,225],"concordant":[86],"guidance,":[90],"clinical":[92],"pharmacist":[93],"made":[94,145],"recommendation.":[96],"assessed":[98],"for":[100],"urinary":[101],"tract":[102],"infection,":[103,107],"skin":[104],"soft-tissue":[106],"pneumonia":[109],"pre-":[110],"post-intervention.":[112],"Prescribing":[113],"classified":[115],"as":[116],"overall":[117,205],"guideline-concordant":[118,269],"choices":[122,203],"duration":[124,222],"therapy":[126,167,224],"were":[127,137,144,172,182,216],"consistent":[128],"Thirty":[132],"cases":[133],"from":[134],"each":[135],"period":[136],"evaluated.":[138],"Recommendations":[139],"63%":[147],"(92/146)":[148],"days":[150,165],"31%":[153],"(205/664)":[154],"patients":[156],"antibiotics.":[158],"The":[159,170],"most":[160],"common":[161],"recommendation":[162],"regarding":[164],"(Figure":[168,179,236],"1).":[169],"recommendations":[171],"accepted":[173,263],"76%":[175],"(156/205)":[176],"cases.":[178],"2).":[180],"improvements":[183],"both":[185],"inpatient":[187],"(70%":[188],"83%,":[190],"P":[191,199,211,233],"=":[192,200,212,234],"0.22)":[193],"discharge":[195],"(64%":[196],"86%,":[198],"0.35)":[201],"guideline":[206],"(53%":[208],"63%,":[210],"0.43);":[213],"however,":[214],"these":[215],"statistically":[218],"significant.":[219],"Concordance":[220],"similar":[226],"periods":[229],"(76%":[230],"vs.":[231],"77%,":[232],"0.94)":[235],"3).":[237],"prompting":[241],"by":[242,264],"pharmacists":[243],"critically":[245],"assess":[246],"feasible":[251],"does":[256],"expertise,":[260],"generally":[262],"physicians,":[265],"may":[267],"increase":[268],"selection.":[271],"Figure":[272,274,276],"1:":[273],"2:":[275],"3:":[277],"All":[278],"authors:":[279],"No":[280],"reported":[281],"disclosures.":[282]},"counts_by_year":[],"updated_date":"2026-10-27T15:51:10.671819","created_date":"2018-12-11T00:00:00"}
