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VA Quality Enhancement Research Initiative (QUERI) CARRIAGE VAST
Sponsor: VA Office of Research and Development
Summary
Antimicrobial-resistant and healthcare-associated pathogens are a global health threat. The goals of antimicrobial stewardship are to minimize unnecessary and inappropriate antimicrobial use as a means to combat antimicrobial resistance. The interdisciplinary Videoconference Antimicrobial Stewardship Team (VAST) was initially developed and tested as a telehealth teleconferencing training and mentoring program in 2 rural pilot sites, then was extended to 9 rural sites, using telehealth to connect clinicians at a rural VAMC to a geographically distant infectious disease expert. Qualitative interviews showed that participants valued VAST and it improved patient care. This project will expand the VAST to other VAMCs and assess the VASTs' impact on antimicrobial prescribing. This work will directly increase access to antimicrobial stewardship consultation at rural VA facilities, which are often underserved by infectious disease expertise.
Official title: Implement and Assess the Impact of a Multidisciplinary Videoconference Antimicrobial Stewardship Team (VAST) in Rural VAMCs Using Telehealth on Antimicrobial Prescribing (QUE 25-023)
Key Details
Gender
All
Age Range
Any - Any
Study Type
INTERVENTIONAL
Enrollment
6
Start Date
2025-11-24
Completion Date
2030-09-30
Last Updated
2026-10-16
Healthy Volunteers
No
Interventions
Videoconference Antimicrobial Stewardship Team
Implementation of VAST in hybrid effectiveness trial. Sites that implement VAST will have outcomes measured before and after implementation of VAST. Implementation outcomes will be measured.
Locations (1)
Edward Hines Jr. VA Hospital, Hines, IL
Hines, Illinois, United States