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2017 ; 5
(3
): 616-625.e7
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Addressing Inpatient Beta-Lactam Allergies: A Multihospital Implementation
#MMPMID28483315
Blumenthal KG
; Shenoy ES
; Wolfson AR
; Berkowitz DN
; Carballo VA
; Balekian DS
; Marquis KA
; Elshaboury R
; Gandhi RG
; Meka P
; Kubiak DW
; Catella J
; Lambl BB
; Hsu JT
; Freeley MM
; Gruszecki A
; Wickner PG
J Allergy Clin Immunol Pract
2017[May]; 5
(3
): 616-625.e7
PMID28483315
show ga
Addressing inaccurate penicillin allergies is encouraged as part of antibiotic
stewardship in the inpatient setting. However, implementing interventions
targeted at the 10% to 15% of inpatients reporting a previous penicillin allergy
can pose substantial logistic challenges. We implemented a computerized guideline
for patients with reported beta-lactam allergy at 5 hospitals within a single
health care system in the Boston area. In this article, we describe our
implementation roadmap, including both successes achieved and challenges faced.
We explain key implementation steps, including assembling a team, stakeholder
engagement, developing or selecting an approach, spreading the change,
establishing measures, and measuring impact. The objective was to detail the
lessons learned while empowering others to be part of this important,
multidisciplinary work to improve the care of patients with reported beta-lactam
allergies.