Nurses are part of the Antimicrobial Stewardship Team
Nurses are part of the Antimicrobial Stewardship Team
Active engagement of nurses in antimicrobial stewardship activities is long-overdue. We can all appreciate the nursing presence in management of antimicrobials in different clinical settings, however there is little to no evidence that supports nurses as antimicrobial stewards. This is partly due to barriers, and knowledge gaps that currently exist in nursing practice. We have created nursing resources to help address some of the knowledge gaps that currently exist.
Active engagement of nurses in antimicrobial stewardship activities is long-overdue. We can all appreciate the nursing presence in management of antimicrobials in different clinical settings, however there is little to no evidence that supports nurses as antimicrobial stewards. This is partly due to barriers, and knowledge gaps that currently exist in nursing practice. We have created nursing resources to help address some of the knowledge gaps that currently exist.
Canadian National Antimicrobial Prescribing Survey
Background
Antimicrobial resistance (AMR) is a global health crisis. The progressive loss of antimicrobial effectiveness is reducing our ability to treat and prevent infectious diseases, with profound impacts on our healthcare system, global trade, agriculture, environment and economy.
Two pillars of the Pan-Canadian Framework on Antimicrobial Resistance and the Pan-Canadian Action Plan on AMR are surveillance and antimicrobial stewardship. These frameworks have identified a need to implement a robust system for collecting antimicrobial utilization data to support antimicrobial stewardship efforts.
The NAPS™ was first piloted in Canada in 2018/2019 based on a customized version of the Australian Hospital NAPS™ tool with Sinai Health Research Ethics Board approval, and is now being used in over 100 hospitals in all provinces for quality improvement and research purposes. Canadian NAPS is in its fifth year of implementation, and has been instrumental in providing a national estimate of antimicrobial use and appropriateness in hospitals across Canada.
Dashboard Reports & Benchmarking
Reporting capabilities include appropriateness by indication, appropriateness by prescribed antimicrobial, compliance by guidelines, and appropriateness comparisons between sites and all other benchmarking sites nationally. With permission from participating facilities, data is contributed to national reporting to facilitate the Pan-Canadian AMR action plans.
Registered hospital sites across Canada by Region
34 sites
Western Region
58 sites
Central Region
32 sites
Eastern Region
Characteristics of Registered Hospital Sites
Hospital Size
Large (>400 beds)
Medium (200-399 beds)
Small (<200 beds)
Based on acute bed number reported at time of registration.
Teaching Status
Teaching
Non-Teaching
.
Population Centre of Location
Large Urban (>100K)
Medium Urban (30K-99,999K)
Small Urban (1K-29,999K)
Rural (<1000 population)
NAPS™ is supported by the National Centre for Antimicrobial Stewardship and the Australian Commission on Safety and Quality in Health Care.
All data is protected and utilized under the ethics and requirements of the National Health and Medical Research Council, Australia and Melbourne Health, Australia (QA2013066), and Sinai Health System, Canada (QI).