Johns Hopkins University
The objective of this study is to evaluate implementation of diagnostic stewardship programs as a strategy to safely reduce antibiotic use, and to generate evidence and tools to support dissemination of diagnostic stewardship programs to a large and diverse group of hospitals.
The Bright STAR Collaborative, or Testing STewardship to reduce Antibiotic Resistance Collaborative, is a prospective multicenter quality improvement (QI) program with the goal of implementing diagnostic stewardship interventions to reduce bacterial culture use as a strategy to reduce antibiotic overuse. Investigators will use data collected by participating sites to determine whether reliable implementation of clinical practice guidelines for evaluation of patients can decrease antibiotic use in pediatric intensive care units. Investigators will perform a quasi-experimental study to compare o…
Inclusion Criteria: * Institutions that plan to develop and implement a quality improvement program to reduce respiratory culture use in their Pediatric ICUs Exclusion Criteria: * Institutions that do not plan to develop and implement a quality improvement program to reduce respiratory culture use in their Pediatric ICUs