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Provide a seamless transition of antibiotic therapy for patients discharged from the hospital.

Implementation of a comprehensive team for outpatient antibiotic therapy consisting of infectious disease physician, clinical pharmacist, and registered nurse.

Successfully design of database covering all entities of the outpatient antibiotic therapy process.

Reduce inpatient and emergency department readmissions by 10%.

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1. A patient may receive one to many orders (medications).

2. A medication order may be placed for one and only one patient.

3. Medication may be ordered by one and only one physician.

4. A physician may write zero to many orders.

5. A pharmacist may review zero to many orders.

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Outpatient antibiotic therapy offers clinical benefit (Bugeja et al., 2021).

A successful database can contribute to a smooth running program ultimately resulting in improved patient care and outcomes.

Outpatient antibiotic therapy offers patient centered care.

Outpatient antibiotic therapy provides cost benefits to both the patients and the healthcare system.

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Patients with severe infections often transition to outpatient care for continued antibiotic administration. While inpatient status these patients are consulted on by Infectious Disease specialists to select and manage their antibiotics. For optimal patient outcomes it is crucial that the treatment plan utilized in the hospital be uninterrupted in the outpatient setting. To accomplish this, the treatment plan must be available to providers and caregivers that are currently active in their care as well as the providers and caregivers that will be assuming their care. A central outpatient antibiotic therapy database was found to be a successful intervention in a failure modes and effects analysis completed by Sadler et al. (2021).

Outpatient Antibiotic Therapy Programs (OPAT) offer:

Patient centered care without hospitalization.

Reduces rehospitalization and return ED visits (Yadav et al., 2021).

Treatment is provided by a comprehensive outpatient antibiotics therapy team (Bugeja et al., 2021).

Therapy team often consists of Infectious Disease Physician, Clinical Pharmacist, and Registered Nurse.

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Bugeja, S. J., Stewart, D., & Vosper, H. (2021). Clinical benefits and costs of an outpatient

parenteral antimicrobial therapy service. Research in Social & Administrative Pharmacy, 17(10), 1758–1763. https://doi-org.ju.idm.oclc.org/10.1016/j.sapharm.2021.01.009

Sadler, E. D., Avdic, E., Cosgrove, S. E., Hohl, D., Grimes, M., Swarthout, M., Dzintars, K., Lippincott, C. K., & Keller, S. C. (2021). Failure modes and effects analysis to improve transitions of care in patients discharged on outpatient parenteral antimicrobial therapy. American Journal of Health-System Pharmacy, 78(13), 1223–1232. https://doi-org.ju.idm.oclc.org/10.1093/ajhp/zxab165

Yadav, K., Mattice, A. M. S., Yip, R., Rosenberg, H., Taljaard, M., Nemnom, M.-J., Ohle, R.,

Yan, J., Suh, K. N., Stiell, I. G., & Eagles, D. (2021). The impact of an outpatient parenteral antibiotic therapy (OPAT) clinic for adults with cellulitis: An interrupted time series study. Internal & Emergency Medicine, 16(7), 1935–1944. https://doi-org.ju.idm.oclc.org/10.1007/s11739-021-02631-0