1004. Interactive Dashboards for Antimicrobial Usage and Standardized Antimicrobial Administration Ratio Data

Abstract

BackgroundAntimicrobial stewardship (AMS) programs can report to the NHSN Antimicrobial Usage and Resistance (AU) module and receive Standardized Antimicrobial Administration Ratios (SAARs) to allow for inter- and intra-facility benchmarking. Output from NHSN for antimicrobial usage is a line listing, rate table, pie chart, or bar chart showing one location at a time, and a line listing for SAAR data We aimed to create interactive data visualization dashboards for end-user’s consumption and for the AMS program staff to identify potential areas of intervention.MethodsA multidisciplinary work group consisting of data analysts, infectious diseases physicians, and infectious diseases pharmacists determined dashboard content, layout, and comparison charts. Graph types were tested to determine the best visual output for antimicrobial usage data and SAAR. Patient-days and antimicrobial usage data based on bar-code administration were captured from the electronic medical record and imported into the NHSN platform for analysis. Analyzed data were then exported from the NHSN site for building the dashboards.ResultsA multi-faceted dashboard was developed in Tableau® to view antimicrobial usage data and SAAR. Dashboard capabilities include the option to view as facility wide, location type, or at a specific unit level for comparison of the usage of antimicrobial classes, specific agents, or SAARs for multiple locations. It can be visualized as a monthly or quarterly display. This allows for quick direct comparison of antimicrobial usage on the same graph by unit to determine outliers (Figure 1). The dashboard allows visualization of all SAAR types by location and unit level on one page showing the entire picture for the location type or unit (figures 2,3). These dashboards give the ability to trend antimicrobial usage and SAARs across units easier than reviewing a line listing or graph of each unit individually.ConclusionWe developed interactive antimicrobial usage and SAAR dashboards. These dashboards can be used by hospitals reporting to NHSN for informing front line staff and for decision-making at the AMS program level. Disclosures All authors: No reported disclosures.