LAUSR

Key Points Question Is framing antibiotic stewardship as a patient safety issue and emphasizing direct care staff engagement associated with reductions in antibiotic use across US long-term care facilities? Findings In this quality improvement study including 439 long-term care facilities, participation in training on antibiotic stewardship from the Agency for Healthcare Research and Quality (AHRQ) was associated with a reduction in antibiotic use and urine culture collection. Fluoroquinolones, an antibiotic class targeted by the AHRQ safety program, had the greatest decrease. Meaning These results suggest that the AHRQ safety program provides a pragmatic framework for the development of antibiotic stewardship programs in long-term care facilities that may reduce antibiotic use.