Enhancing Antimicrobial Stewardship Through the SMART-AMS Digital Model : A Strategic Framework to Tackle Antimicrobial Resistance

Abdelsalam Elshenawy, Rasha (2025) Enhancing Antimicrobial Stewardship Through the SMART-AMS Digital Model : A Strategic Framework to Tackle Antimicrobial Resistance. In: BSAC 2025 Spring Conference & AGM, 2025-05-15 - 2025-05-16, UK & online.

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This research presents the development of the SMART-AMS digital model as a strategic framework to strengthen antimicrobial stewardship (AMS) and combat antimicrobial resistance (AMR), aligned with lessons from the COVID-19 pandemic. Conducted across a UK NHS Foundation Trust, the study employed three sequential methods: a systematic literature review (2000–2021) on AMS in acute care, a retrospective analysis of 640 medical records (2019–2020), and a prospective survey of 240 healthcare professionals assessing AMS knowledge and perceptions. Key disruptions during the pandemic included reduced antibiotic reviews (81%), AMS audits (70%), and IV-to-oral switches (67%). The SMART-AMS model integrates a real-time digital dashboard, mobile AMS guides, AI-driven prescribing tools, adaptive education, and continuous monitoring. It provides a scalable, data-driven framework to guide clinical decisions, ensure quality improvement, and maintain AMS during health crises. This innovative model offers a practical pathway to promote sustainable antibiotic use, enhance health system resilience, and advance global AMR mitigation.

Item Type	Conference or Workshop Item (Other)
Keywords	antimicrobial stewardship (ams), antimicrobial stewardship, antimicrobial stewardship (ams), antimicrobial stewardship competencies, antimicrobial stewardship programme, antibiotic awareness week, antibiotic dashboard, antibiotic education, antibiotic guardian, antibiotic misuse, antibiotic prescribing, health system resilience, antimicrobial resistance, antimicrobial resistance, antimicrobial resistance (amr), antimicrobial resistance,, smart-ams model, covid-19 pandemic, covid-19 pandemic, antibiotic prescribing trends, acute care settings, acute care hospitals, digital dashboard, dashboard, artificial intelligence (ai), artificial intelligence (ai), machine learning, machine learning and artificial intelligence, clinical decision support systems, clinical decision-making tools, ams pocket guide, ams pocket, adaptive education, continuous monitoring, parenteral-to-oral switch, iv antimicrobial therapy, iv-to-oral switch, iv-to-oral switch, quality improvement, quality improvement, quality improvement initiatives, quality improvement report, data-driven healthcare, public health, public health concern, public health emergency, public health england (phe) toolkit, nhs foundation trust, start smart then focus, ukhsa, sstf
Date Deposited	21 May 2025 12:26
Last Modified	30 May 2025 23:30