The life cycle of infection prevention and antimicrobial stewardship projects and interventions: the dynamic interplay of implementation and de-implementation science (Part I of II)
In Antimicrobial Stewardship and Infection Prevention and Control, programmatic goals often strive to achieve clinical benefit by practice change in the direction of doing less. Practically, this may include reducing the number of tests ordered, encouraging shorter and more narrow courses of antimicrobials, or discontinuing practices that are no longer contextually appropriate. Because promoting practice change in the direction of doing less is a critical aspect of day-to-day operations in Antimicrobial Stewardship and Infection Prevention and Control, the goals of this <i>Society for Healthcare Epidemiology</i> Research Committee White Paper are to provide a roadmap and framework for leveraging principles of implementation and de-implementation science in day-to-day practice. Part II of this series focuses on some practical case studies, including real-world examples of applied de-implementation science to promote discontinuation of practices that are ineffective, overused, or no longer effective.
Authors
- Lucy S Witt (ORCID: https://orcid.org/0000-0003-1475-6952)
- Felicia Scaggs Huang (ORCID: https://orcid.org/0000-0002-3944-6208)
- Vincent Chi‐Chung Cheng (ORCID: https://orcid.org/0000-0003-1765-7706)
- Milner Staub (ORCID: https://orcid.org/0000-0002-0774-7698)
- Lynne Jones Batshon
- Rupak Datta
- Owen Albin (ORCID: https://orcid.org/0000-0002-1659-4902)
- Samira Reyes Dassum
- Sarah L. Krein (ORCID: https://orcid.org/0000-0003-2111-8131)
- Joseph Ting (ORCID: https://orcid.org/0000-0002-5246-8823)
- Jennie H Kwon (ORCID: https://orcid.org/0000-0002-7824-6276)
- Westyn Branch‐Elliman (ORCID: https://orcid.org/0000-0002-9658-5124)
- Matthew J. Ziegler (ORCID: https://orcid.org/0000-0002-5723-3927)
- Geehan Suleyman (ORCID: https://orcid.org/0000-0002-5630-0104)
- Pranavi Sreeramoju (ORCID: https://orcid.org/0000-0002-1218-8974)
- Sandra Castejón-Ramírez (ORCID: https://orcid.org/0000-0002-8979-1819)
- Barry Rittmann
- Mini Kamboj (ORCID: https://orcid.org/0000-0002-3122-6374)
- Stephanie Stroever (ORCID: https://orcid.org/0000-0001-9683-3928)
- David Chambers (ORCID: https://orcid.org/0009-0002-1413-7801)
- Nkechi Emetuche
Institutions
- Texas Tech University (US)
- Cincinnati Children's Hospital Medical Center (US)
- St. Jude Children's Research Hospital (US)
- Memorial Sloan Kettering Cancer Center (US)
- Roger Williams Medical Center (US)
- Emory University (US)
- Henry Ford Health System (US)
- University of Alberta (CA)
- University of Tennessee Health Science Center (US)
- University of California, Los Angeles (US)
- Virginia Commonwealth University (US)
- Wayne State University (US)
- Providence College (US)
- Washington University in St. Louis (US)
- Cornell University (US)
- University of Michigan (US)
- Queen Mary Hospital (CN)
- University Health System (US)
- Yale University (US)
- California University of Pennsylvania (US)
- VA Connecticut Healthcare System (US)
- Society for Healthcare Epidemiology of America (US)
- VA Tennessee Valley Healthcare System (US)
- VA Ann Arbor Healthcare System (US)
- Film Independent (US)
- Olive View-UCLA Medical Center (US)
- National Cancer Institute (US)
- Center for the Study of Healthcare Provider Behavior (US)
- VA Greater Los Angeles Healthcare System (US)
- University of Cincinnati (US)
- University of Pennsylvania (US)
- Michigan State University (US)
- Texas Tech University Health Sciences Center (US)
Publication Details
- Journal
- Infection Control and Hospital Epidemiology
- Published
- 2025-09-10
- DOI
- https://doi.org/10.1017/ice.2025.75
- Citations
- 1
- Primary Topic
- Health Policy Implementation Science
- Type
- article
- Field-Weighted Citation Impact
- 2.82