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Rationale and development of a business case for antimicrobial stewardship programs in acute care hospital settings

Overview of attention for article published in Antimicrobial Resistance and Infection Control, August 2018
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#26 of 694)
  • High Attention Score compared to outputs of the same age (95th percentile)

Mentioned by

news
2 news outlets
twitter
64 tweeters

Citations

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3 Dimensions

Readers on

mendeley
18 Mendeley
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Title
Rationale and development of a business case for antimicrobial stewardship programs in acute care hospital settings
Published in
Antimicrobial Resistance and Infection Control, August 2018
DOI 10.1186/s13756-018-0396-z
Pubmed ID
Authors

A. M. Morris, E. Rennert-May, B. Dalton, N. Daneman, L. Dresser, S. Fanella, J. Grant, Y. Keynan, N. Le Saux, J. McDonald, Y. Shevchuk, D. Thirion, J. M. Conly

Abstract

Antimicrobial stewardship programs (ASPs) have been shown to reduce inappropriate antimicrobial use and its consequences. However, these programs lack legislative requirements in many places and it can be difficult to determine what human resources are required for these programs and how to create a business case to present to hospital administrators for program funding. The objectives of the current paper were to review legislative requirements and outline human resource requirements for ASPs, and to create a base business case for ASPs. A working group of antimicrobial stewardship experts from across Canada met to discuss the necessary components for creation of a business case for antimicrobial stewardship. A narrative review of the literature of the regulatory requirements and human resource recommendations for ASPs was conducted. Informed by the review and using a consensus decision-making process, the expert working group developed human resource recommendations based on a 1000 bed acute care health care facility in Canada. A spreadsheet based business case model for ASPs was also created. Legislative and /or regulatory requirements for ASPs were found in 2 countries and one state jurisdiction. The literature review and consensus development process recommended the following minimum human resources complement: 1 physician, 3 pharmacists, 0.5 program administrative and coordination support, and 0.4 data analyst support as full time equivalents (FTEs) per 1000 acute care beds. Necessary components for the business case model, including the human resource requirements, were determined to create a spreadsheet based model. There is evidence to support the negative outcomes of inappropriate antimicrobial use as well as the benefits of ASPs. Legislative and /or regulatory requirements for ASPs are not common. The available evidence for human resource recommendations for ASPs using a narrative review process was examined and a base business case modelling scenario was created. As regulatory requirements for ASPs increase, it will be necessary to create accurate business cases for ASPs in order to obtain the necessary funding to render these programs successful.

Twitter Demographics

The data shown below were collected from the profiles of 64 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 18 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 18 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 5 28%
Other 5 28%
Professor > Associate Professor 3 17%
Unspecified 2 11%
Student > Postgraduate 1 6%
Other 2 11%
Readers by discipline Count As %
Medicine and Dentistry 9 50%
Unspecified 4 22%
Biochemistry, Genetics and Molecular Biology 1 6%
Pharmacology, Toxicology and Pharmaceutical Science 1 6%
Nursing and Health Professions 1 6%
Other 2 11%

Attention Score in Context

This research output has an Altmetric Attention Score of 59. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 October 2018.
All research outputs
#299,560
of 13,600,958 outputs
Outputs from Antimicrobial Resistance and Infection Control
#26
of 694 outputs
Outputs of similar age
#11,634
of 264,904 outputs
Outputs of similar age from Antimicrobial Resistance and Infection Control
#1
of 2 outputs
Altmetric has tracked 13,600,958 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 97th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 694 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 15.3. This one has done particularly well, scoring higher than 96% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 264,904 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 95% of its contemporaries.
We're also able to compare this research output to 2 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them