Co-creation with Stakeholders: A Web 2.0 Antibiotic Stewardship Program

Patient Safety needs a rethinking about medicine due to the aging society, increase in chronic diseases and infections and a decrease in available budget for healthcare. Besides, patients are the driving force behind transparency of healthcare decisions. Participative Medicine supported by technology is promising to innovate medical thinking and workflows. In this paper we discuss a holistic eHealth development approach for participative medicine. We show, using the case of antibiotic stewardship, how participation of stakeholders can be used to co-create a digital platform with applications to support decision–making and collaboration. We demonstrate that participation of stakeholders (healthcare workers, providers, policymakers, management, patients) is needed to co-create eHealth technologies that make sense by being accessible, affordable, applicable, manageable and

[1]  N. Daneman,et al.  Impact of antimicrobial stewardship in critical care: a systematic review. , 2011, The Journal of antimicrobial chemotherapy.

[2]  M. Klouche,et al.  Antibiotika am Krankenbett , 2011 .

[3]  Julia E.W.C. van Gemert-Pijnen,et al.  Introducing eHealth Business Modelling Instruments for Implementing eHealth Technologies Based om a Integrated Appraoch with Human-Centered Design , 2011, eTELEMED 2011.

[4]  Nicol Nijland,et al.  Grounding eHealth : towards a holistic framework for sustainable eHealth technologies , 2011 .

[5]  Fenne Verhoeven,et al.  When staff handle staph : user-driven versus expert-driven communication of infection control guidelines , 2009 .

[6]  Peter J Pronovost,et al.  Using an interdisciplinary approach to identify factors that affect clinicians' compliance with evidence-based guidelines , 2010, Critical care medicine.

[7]  P. Polgreen,et al.  Antimicrobial Stewardship Programs in Pediatrics , 2009, Infection Control & Hospital Epidemiology.

[8]  M. Fine,et al.  Implementation of an evidence-based guideline to reduce duration of intravenous antibiotic therapy and length of stay for patients hospitalized with community-acquired pneumonia: a randomized controlled trial. , 2003, The American journal of medicine.

[9]  Yves Pigneur,et al.  Clarifying Business Models: Origins, Present, and Future of the Concept , 2005, Commun. Assoc. Inf. Syst..

[10]  David C Aron,et al.  Unnecessary use of antimicrobials in hospitalized patients: current patterns of misuse with an emphasis on the antianaerobic spectrum of activity. , 2003, Archives of internal medicine.

[11]  J. Mcgowan Economic impact of antimicrobial resistance. , 2001, Emerging infectious diseases.

[12]  T. Yoshikawa Antimicrobial Resistance and Aging: Beginning of the End of the Antibiotic Era? , 2002, Journal of the American Geriatrics Society.

[13]  Nicol Nijland,et al.  A Holistic Framework to Improve the Uptake and Impact of eHealth Technologies , 2011, Journal of medical Internet research.

[14]  Nicol Nijland,et al.  Why Business Modeling is Crucial in the Development of eHealth Technologies , 2011, Journal of medical Internet research.

[15]  Jakob Nielsen,et al.  Usability engineering , 1997, The Computer Science and Engineering Handbook.

[16]  J. Grimshaw,et al.  Effectiveness and efficiency of guideline dissemination and implementation strategies , 2005, International Journal of Technology Assessment in Health Care.

[17]  Joyce Karreman,et al.  Participatory development via user-involvement - A Case Study about the development of a Web-based Patient-communication system about Methicillin-resistant Staphylococcus aureus , 2011 .

[18]  Christoph U. Lehmann,et al.  A World Wide Web-based antimicrobial stewardship program improves efficiency, communication, and user satisfaction and reduces cost in a tertiary care pediatric medical center. , 2008, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[19]  R. Owens,et al.  Antimicrobial stewardship and the role of pharmacokinetics-pharmacodynamics in the modern antibiotic era. , 2007, Diagnostic microbiology and infectious disease.

[20]  M. Cabana,et al.  Pediatricians' perspectives on the impact of MRSA in primary care: a qualitative study , 2009, BMC pediatrics.

[21]  T. Saaty How to Make a Decision: The Analytic Hierarchy Process , 1990 .

[22]  C. Anandan,et al.  The Impact of eHealth on the Quality and Safety of Health Care: A Systematic Overview , 2011, PLoS medicine.

[23]  Sonja Ewering,et al.  Integrating stakeholders in the development of an Antibiotic Stewardship Program , 2011 .

[24]  M. Blunt,et al.  Modification in prescribing practices for third-generation cephalosporins and ciprofloxacin is associated with a reduction in meticillin-resistant Staphylococcus aureus bacteraemia rate. , 2008, The Journal of hospital infection.

[25]  R. Grol,et al.  Antibiotic prescribing in hospitals: a social and behavioural scientific approach. , 2010, The Lancet. Infectious diseases.

[26]  C. Brun-Buisson,et al.  Improving antibiotic use in the hospital: Focusing on positive blood cultures is an effective option. , 2011, Presse medicale.

[27]  B. Camins,et al.  Impact of an Antimicrobial Utilization Program on Antimicrobial Use at a Large Teaching Hospital A Randomized Controlled Trial , 2009, Infection Control & Hospital Epidemiology.

[28]  P. Narciso,et al.  Decrease of methicillin resistant Staphylococcus aureus prevalence after introduction of a surgical antibiotic prophylaxis protocol in an Italian hospital. , 2008, The new microbiologica.

[29]  Conan MacDougall,et al.  Antimicrobial Stewardship Programs in Health Care Systems , 2005, Clinical Microbiology Reviews.

[30]  M. Bassetti,et al.  Impact of an antimicrobial formulary and restriction policy in the largest hospital in Italy. , 2000, International journal of antimicrobial agents.