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Public Health Antibiotic Stewardship Driver Diagram



The Public Health Foundation (PHF) has developed a Public Health Antibiotic Stewardship Driver Diagram and subsquent Antibiotic Stewardship Program for public health to improve use of antibiotics. This effort grew out the Centers for Disease Control and Prevention (CDC) and the Institute for Healthcare Improvement (IHI) partnership to develop a conceptual model of key drivers for reducing inappropriate antibiotic utilization in hospitals. Efforts to promote optimal antibiotic use should employ both the public health and healthcare systems. Health departments using the driver diagram and quality improvement techniques to promote optimal antibiotic use through both the public health and health care systems include:

This initiative compliments PHF's collaboration with the IHI to help hospitals reduce Healthcare-associated Infections (HAIs) due to antibiotic resistance. People who develop infections that are resistant to antibiotics have increased risk of hospitalization and transfer to an intensive care unit, higher hospital costs, longer length of stay in the hospital, and higher risk of death. The CDC has identified eliminating HAIs as a Winnable Battle. Learn more and find resources by visiting the PHF Healthcare-Associated Infections resource page.


For more information about this initiative, please contact Micaela Kirshy at or phone at (202)218-4410. 


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