Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Artificial Intelligence module in Antimicrobial Stewardship Program: Single Center Pilot from United Arab Emirates Duaa Salem Jawhar1,2, Ajmal Kuzhiyil2 Introduction ACCP Virtual Symposium May 2024 1. School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia 2. Saqr Hospital, Pharmacy Department, Emirates Health Service, Ras al Khaimah, United Arab Emirates Artificial intelligence (AI) is the capability of any system to simulate human intelligence by showing the ability to sense, reason, engage, and learn. Artificial intelligence techniques include knowledge-based system, machine learning and deep learning.The antimicrobial stewardship program (ASP) is among the solutions to combat Antimicrobial resistance (AMR), and it's defined as a healthcare system-wide approach to promote and monitor the judicious use of antimicrobials to preserve their future effectiveness. Research question Can the AI-ASP module improve ASP practice? Study design: Observational before and after study Figure 1: No. Patients reviewed by ASP-Clinical Pharmacist 2500 2000 20.37% 1500 1000 • The ASP-Clinical Pharmacists react to the alert in the dashboard by approaching the physician and documenting the intervention electronically in the patient's electronic medical record. • Setting: Saqr hospital was selected among the four pilot hospitals to test and validate the module. • Ethical consideration: Pharmacy clinical surveillance project was approved by EHS higher management, data and statistical department. Result 500 • Number of patients reviewed by ASP-Clinical Pharmacists increased by 20.37% from 1885 patients (Marhc-August 2022) to 2269 patients (March-August 2023) after utilizing the module. 0 2022 (Mar-Aug) 2023 (Mar-Aug) AI-ASP Module utilization led to 20.37% increase in the number of patients reviewed and 50.97% increase in the number of Audit-Feedback Interventions by ASP-Clinical Pharmacist Method • Team members from the Emirates Health Service (EHS) central pharmacy department, EHS central ASP team, Saqr Hospital, Alkuwait Hospital, Alqassimi Hospital, Alqassimi Women and Children Hospital, Data & statistics Department and Cerner-millennium participated in developing the algorithm for Pharmacy clinical surveillance (PCS) module which include features support ASP. • The module was developed using a Kowledge-based learning approach and consists of a dashboard accessible by ASP-Clinical Pharmacists that pool out and classify patients who meet the designed algorithm's criteria. • Examples of ASP algorithms are de-escalation, mismatch, therapeutic drug monitoring result, reserve antibiotic order, positive culture result, dual-anaerobic coverage, watch antibiotic order, access antibiotic order, and Intravenous to oral switch. Figure 2: No. of Intervention by ASP-Clinical Pharmacist 800 600 50.97% • Number of Audit-Feedback Intervention by ASP-Clinical Pharmacist increased by 50.97% from 461 interventions (MarchAugust 2022) to 696 interventions (March-August 2023) after utilizing the module. Conclusion 400 • The module helps in time management and targeting efforts of the ASP team by guiding them to review patients with a higher opportunity for ASP intervention. Proper time management leads to providing ASP service to a broader scope of patients. 200 Acknowledgments : 0 2022 (Mar-Aug) 2023 (Mar-Aug) Emirates Health Service (EHS) for the entire support. Pharmacy department in EHS for ASP module initiative. Cerner Millennium team in EHS for collaboration