The Alberta Telestewardship Network: Building a platform to enable capacity building in antimicrobial stewardship—results of an initial pilot study

Author:

Jelinski Dana1,Julien Danielle1,Cook Sandra2,Harris Sabrina3,Logan Timothy4,Sabuda Deana5,Dersch-Mills Deonne5,Wong Catherine6,Webster Sara6,Constantinescu Cora7,Hoang Holly89,Conly John110111213

Affiliation:

1. AMR – One Health Consortium, University of Calgary, Calgary, Alberta, Canada

2. Pharmacy Services, Alberta Health Services, Grande Prairie, Alberta, Canada

3. Pharmacy Services, Alberta Health Services, Red Deer, Alberta, Canada

4. Pharmacy Services, Alberta Health Services, Lethbridge, Alberta, Canada

5. Pharmacy Services, Alberta Health Services, Calgary, Alberta, Canada

6. Virtual Health, Alberta Health Services, Calgary, Alberta, Canada

7. Department of Pediatrics, Cumming School of Medicine, University of Calgary and Alberta Health Services, Calgary, Alberta, Canada

8. Division of Infectious Diseases, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada

9. Antimicrobial Stewardship Program, Covenant Health, Edmonton, Alberta, Canada

10. Department of Medicine, Cumming School of Medicine, University of Calgary and Alberta Health Services, Calgary, Alberta, Canada

11. Department of Microbiology, Immunology and Infectious Diseases, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada

12. Department of Pathology and Laboratory Medicine, Cumming School of Medicine, University of Calgary and Alberta Health Services, Calgary, Alberta, Canada

13. Snyder Institute for Chronic Diseases and O’Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada

Abstract

Background: Resources to improve antimicrobial stewardship (AS) are limited, but a telestewardship platform can enable capacity building and scalability. The Alberta Telestewardship Network (ATeleNet) was designed to focus on outreach across the province of Alberta, Canada, and facilitate AS activities. Methods: Outreach occurred virtually between pharmacists and physicians in hospital and long-term care settings throughout Alberta via secure, enterprise video conferencing software on both desktop and mobile devices. We used a quantitative questionnaire adapted from the telehealth usability questionnaire to capture the health provider’s experience during each session. The questionnaire consisted of 39 questions, and a 5-point Likert scale was used to assess the degree of agreement and collate responses into a descriptive analysis. Results: A total of 33 pilot consultations were completed between July 6, 2020 and December 15, 2021. The majority (22, 85%) of respondents agreed that video conference-based virtual sessions are an acceptable means to provide health care and that they were able to express themselves effectively to other health care professionals (23, 88%). Respondents agreed the system was simple to use (23, 96%), and that they could become productive quickly using the system (23, 88%). Overall, 24 (92%) respondents were satisfied or very satisfied with the virtual care platform. Conclusions: We implemented and evaluated a telehealth consultation and collaborative care service between AS providers at multiple centres. AHS has since prioritized similar workflows, including access to specialists in acute care, as part of their virtual health strategy. Evaluation results will be shared with provincial stakeholders for further strategic planning and deployment.

Publisher

University of Toronto Press Inc. (UTPress)

Subject

Infectious Diseases,Microbiology (medical)

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