Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship

Ø 1I TOOL: Survey of Staff Attitudes Toward ASP and Current Practices

Purpose: To assess prescribers' perceptions about antimicrobial resistance, including the scope of the problem, antibiotic prescribing practices, and thoughts about antimicrobial stewardship programs. This information should inform implementation strategies and identify education needs.

Source: Developed by Greater New York Health Association/United Health Fund ERASE C. difficile Project team. Based on the AHRQ Hospital Survey on Patient Safety Culture. Available at http://www.ahrq.gov/qual/patientsafetyculture/hospsurvindex.htm.

Instructions: Have prescribers complete the survey. Consider handing it out and collecting it at a faculty meeting or Grand Rounds where they are already gathered. Tally results for use by the ASP team and clinical educators. Also consider presenting survey results to prescribers to provide feedback about the collective attitudes and perceptions in your facility.

Note: The survey is separate from these instructions so that it may be easily duplicated for use.

ERASE-C. diff. Antimicrobial Stewardship Survey

(This survey is designed to be administered pre- and postintervention and to both intervention and control institutions.)

Please indicate your level of agreement with the following statements about your institution.

Antimicrobial Resistance: Scope of the Problem and Key Contributors
Statement Strongly
Disagree
Disagree Neither Agree Strongly
Agree
1. Antibiotic resistance is a problem in this institution. ___ ___ ___ ___ ___
2. Patient rooms are cleaned according to hospital cleaning protocol once a C. difficile patient has been discharged. ___ ___ ___ ___ ___
3. Adherence to hand hygiene protocols is excellent at this institution. ___ ___ ___ ___ ___
4. Adherence to isolation and contact precautions is excellent at this institution. ___ ___ ___ ___ ___
5. This institution does NOT do enough to control the development of C. difficile. ___ ___ ___ ___ ___
6. This institution provides adequate staff education regarding C. difficile. ___ ___ ___ ___ ___
7. A patient is likely to develop a C. difficile infection during a stay at this institution. ___ ___ ___ ___ ___
Antibiotic Prescribing Practices
Statement Strongly
Disagree
Disagree Neither Agree Strongly
Agree
1. Microbiology lab results are efficiently communicated to the treating physician. ___ ___ ___ ___ ___
2. I regularly refer to the susceptibility/sensitivity patterns at this institution (e.g., an antibiogram) when prescribing antibiotics. ___ ___ ___ ___ ___
3. If medically appropriate, intravenous antibiotics should be stepped down to an oral alternative after 3 days. ___ ___ ___ ___ ___
4. Restrictions on antibiotics impair my ability to provide good patient care. ___ ___ ___ ___ ___
5. Antibiotics are overused at this institution. ___ ___ ___ ___ ___
6. A majority of patients admitted to this institution will be prescribed at least one antibiotic during their hospital stay. ___ ___ ___ ___ ___
7. Many of my patients receive 5 or more days of antibiotics during their stay at this institution. ___ ___ ___ ___ ___
8. Few of my patients are discharged from this institution on antibiotics. ___ ___ ___ ___ ___
9. When discharged to a nursing home or long-term care facility, most of my patients are on IV antibiotics. ___ ___ ___ ___ ___
Antimicrobial Stewardship Programs (a formal program that monitors and manages the appropriate use of antibiotics)
Statement Strongly
Disagree
Disagree Neither Agree Strongly
Agree
1. Antimicrobial stewardship programs can improve patient care. ___ ___ ___ ___ ___
2. Antimicrobial stewardship programs reduce the problem of antimicrobial resistance. ___ ___ ___ ___ ___
3. Antimicrobial stewardship programs can affect this institution's C. difficile rates. ___ ___ ___ ___ ___
4. This institution has an effective antimicrobial stewardship program. ___ ___ ___ ___ ___
5. This institution does not provide adequate training on antimicrobial prescribing and use. ___ ___ ___ ___ ___
6. Additional staff education on antimicrobial prescribing is needed. ___ ___ ___ ___ ___
7. Prescribing physicians are the only disciplines who need to understand antimicrobial stewardship. ___ ___ ___ ___ ___
Background Information

1. What is your primary work area or unit in this health care facility? (Please check ONE answer)

___Many different units/No specific unit
___ Medicine (nonsurgical)
___Surgery
___Obstetrics
___Pediatrics
___Emergency department
___Intensive care unit (any type)
___Psychiatry/mental health
___Rehabilitation
___Pharmacy
___Laboratory
___Radiology
___Anesthesiology
___Other (please specify: ______________________)
 

2. How long have you worked in this health care facility?

___ Less than 1 year
___ 1 to 5 years
___ 6 to 10 years
___ 11 to 15 years
___ 16 to 20 years
___ 21 years or more

3. What is your staff position in this health care facility?

___ Attending/staff physician
___ Physician assistant
___ Resident physician/Intern
___ Nurse practitioner
___ Fellow
___ Infection control
___ Pharmacist
___ Other (please specify: ______________________)

4. How long have you worked in your current specialty or profession?

___ Less than 1 year
___ 1 to 5 years
___ 6 to 10 years
___ 11 to 15 years
___ 16 to 20 years
___ 21 years or more

Return to Question 1

Page last reviewed September 2012
Internet Citation: Ø 1I TOOL: Survey of Staff Attitudes Toward ASP and Current Practices. September 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/cdifftoolkit/cdiffl2tools1i.html