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National safety program linked to reduced hospital antibiotic use

Ridofranz / iStock Implementation of a national safety program that helps US hospitals to establish antibiotic stewardship programs (ASPs) and clinicians to improve their antibiotic decision-making was associated with reduced antibiotic use and fewer hospital-onset Clostridioides difficile infections, according to a study today in JAMA Network Open. The study, conducted by researchers with the Johns Hopkins University School of Medicine, the University of Chicago, and the Agency for Healthcare Research and Quality (AHRQ), evaluated the impact of AHRQ s Safety Program for Antibiotic Use, which was established in 2017 to support hospitals in their efforts to establish ASPs and successfully implement stewardship principles. ASPs have been associated with reduced antibiotic use in individual hospitals across the country.

Uptake and Accuracy of the Diagnosis Code for COVID-19 Among US Hospitalizations | Infectious Diseases | JAMA

International Statistical Classification of Diseases, Tenth Revision, Clinical Modification [ ICD-10-CM] code B97.29) and is shown in blue. Coronavirus disease 2019 (COVID-19)–specific coding ( ICD-10-CM code U07.1) is shown in orange. Table.  Accuracy of the ICD-10-CM COVID-19–Specific Diagnosis Code in Capturing Inpatient Discharges Displaying PCR-Confirmed COVID-19 From 150 Hospitals Between April 1, 2020, and May 31, 2020 1. Rhee  C, Dantes  R, Epstein  L,  et al; CDC Prevention Epicenter Program.  Incidence and trends of sepsis in US hospitals using clinical vs claims data, 2009-2014.  2. Centers for Disease Control and Prevention. ICD-10-CM official coding and reporting guidelines: April 1, 2020 through September 30, 2020. Accessed October 9, 2020. https://www.cdc.gov/nchs/icd/icd10cm.htm

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