{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:53:10Z","timestamp":1777859590677,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T00:00:00Z","timestamp":1748649600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pharmacy Practice"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    The 2019 Center for Disease Control and Prevention\u2019s Core Elements of Hospital Antibiotic Stewardship identifies community-acquired pneumonia (CAP) as a crucial area for improving antibiotic use. Transitions of care (TOC) pharmacists can optimize medication therapy for CAP patients.\n                    <jats:bold>Methods:<\/jats:bold>\n                    This was a retrospective, multi-hospital analysis of discharge antibiotic prescribing. Between December 1, 2022, and June 30, 2023, TOC pharmacists intervened to decrease discharge days of therapy (DOT) for CAP therapy. The study compared records of CAP patients with a TOC antibiotic stewardship intervention vs those without. An additional three-group analysis compared patients without an intervention to those with an accepted intervention to those with a rejected intervention.\n                    <jats:bold>Results:<\/jats:bold>\n                    196 patient records were included in the analysis; 80 had a TOC pharmacist intervention and 116 did not. 62 interventions were accepted and 18 were rejected. Mean final discharge DOT was 3.8 \u00b1 1.7\u00a0days in the non-intervention group and 3.4 \u00b1 1.6\u00a0days in the intervention group (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.231). Mean total DOT was 6.8 \u00b1 2.3\u00a0days and 6.8 \u00b1 1.8\u00a0days, respectively (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.963). The percentage of patients with appropriate total DOT was 59.5% and 66.3%, respectively (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.337). In the three-group analysis, mean final discharge DOT was 2.9 \u00b1 1.7\u00a0days in the accepted group and 4.2 \u00b1 0.9\u00a0days in the rejected group (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.030). Mean total DOT was 6.4 \u00b1 1.6\u00a0days and 8.1 \u00b1 1.8\u00a0days, respectively (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.009). The percentage of patients with appropriate total DOT was 82.3% and 11.1%, respectively (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001).\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    The accepted TOC pharmacist interventions significantly reduced both discharge DOT and total DOT. These findings emphasize the impact TOC pharmacists can have with antimicrobial stewardship initiatives.\n                  <\/jats:p>","DOI":"10.1177\/08971900251345976","type":"journal-article","created":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T03:46:16Z","timestamp":1748663176000},"page":"85-92","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Prospective Audit and Feedback by Transitions of Care Pharmacists on the Management of Community-Acquired Pneumonia"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3713-1679","authenticated-orcid":false,"given":"Isabella N.","family":"Hernandez","sequence":"first","affiliation":[{"name":"William W. Backus Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1299-4394","authenticated-orcid":false,"given":"Anastasia","family":"Bilinskaya","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Services, Hartford HealthCare, Hartford, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shally S.","family":"Singh","sequence":"additional","affiliation":[{"name":"William W. Backus Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David M.","family":"O\u2019Sullivan","sequence":"additional","affiliation":[{"name":"Hartford HealthCare"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abigail M.","family":"Henry","sequence":"additional","affiliation":[{"name":"William W. Backus Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,31]]},"reference":[{"key":"e_1_3_4_2_2","volume-title":"Top 20 Pneumonia Facts","author":"ATS","year":"2019","unstructured":"ATS. Top 20 Pneumonia Facts. American Thoracic Society; 2019. https:\/\/www.thoracic.org\/patients\/patient-resources\/resources\/top-pneumonia-facts.pdf"},{"key":"e_1_3_4_3_2","volume-title":"Core Elements of Hospital Antibiotic Stewardship Programs","author":"CDC","year":"2019","unstructured":"CDC. Core Elements of Hospital Antibiotic Stewardship Programs. Atlanta, GA: US Department of Health and Human Services, CDC; 2019. https:\/\/www.cdc.gov\/antibiotic-use\/core-elements\/hospital.html"},{"issue":"6","key":"e_1_3_4_4_2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.15585\/mmwr.rr6506a1","article-title":"Core Elements of outpatient antibiotic stewardship","volume":"65","author":"Sanchez GV","year":"2016","unstructured":"Sanchez GV, Fleming-Dutra KE, Roberts RM, et al. Core Elements of outpatient antibiotic stewardship. MMWR Recomm Rep (Morb Mortal Wkly Rep). 2016;65(RR-6):1-12.","journal-title":"MMWR Recomm Rep (Morb Mortal Wkly Rep)"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.7326\/M18-3640"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.2648"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201908-1581ST"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.2007"},{"key":"e_1_3_4_9_2","volume-title":"Transitions of Care","author":"AHRQ","year":"2018","unstructured":"AHRQ. Transitions of Care. Rockville, MD: Agency for Healthcare Research and Quality; 2018. https:\/\/www.ahrq.gov\/research\/findings\/nhqrdr\/chartbooks\/carecoordination\/measure1.html"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/00185787221120151"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1017\/ash.2022.327"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.11331"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofac492.122"},{"key":"e_1_3_4_14_2","doi-asserted-by":"crossref","unstructured":"von Elm E Altman DG Egger M et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61(4):344-349. 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