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Pre-Activity Survey
What is your institution type?
--SELECT--
Teaching hospital
Private hospital
Community hospital
Ambulatory care
Long-term care
Academic institution
VA/Military
Retail
Other
What is your degree?
--SELECT--
DO
MD
MPH
MS
PA
PharmD
PhD
RN
RPh
Other
What is your current Specialty/Position?
--SELECT--
AIDS/HIV
Allergy
Cardiology
Clinical Pharmacology
Critical Care
Dermatology
Emergency Medicine
Endocrinology
Epidemiology
Family Medicine
Gastroenterology
Geriatrics
Gynecology/Obstetrics
Hematology
Hepatic and Biliary Disorders
Hospital Pharmacy
Immunology
Infectious Disease
Internal Medicine
Managed Care
Nephrology
Neurology
Oncology
Orthopedics
Osteopathy
Other
Otorhinolaryngology
Pain Management
Pathology
Pediatrics
Pharmacy
Pulmonology
Radiology
Rheumatology
Surgery
Urology
How often do you use the antibiogram at your institution?
--SELECT--
Daily
Weekly
Monthly
Never
How often is your antibiogram updated?
--SELECT--
Once a year
Twice a year
Other
Not Sure
Who is responsible for updating the antibiogram? (Check all that apply)
Physician
Pharmacist
Microbiologist
Nurse
Infection Control
Administration
Other (Please explain)
My institution has an antibiogram for. . .
--SELECT--
The entire hospital
For various units within the hospital (i.e. ICU)
I don’t know
How important do you feel antibiograms are in guiding empiric antimicrobial selection?
--SELECT--
Very important
Important
Somewhat important
Not important
Please rate this statement. "The antibiogram is designed to be utilized by a broad range of disciplines within the hospital setting."
--SELECT--
1 (Completely disagree)
2
3
4
5 (Completely agree)
How confident are you in accurately reading and interpreting an antibiogram?
--SELECT--
Very Confident
Confident
Somewhat confident
Not confident
What do you feel are the greatest barriers to appropriately and effectively utilizing an antibiogram? (Check all that apply)
Complicated/confusing format
Lack of resources to explain the antibiogram
Lack of time to learn how to use it
Not readily available/difficult to access
Outdated/inaccurate data
Other (Please explain)
Which aspects of antibiograms would you like to learn more about? (Check all that apply)
Purpose of the antibiogram
How to utilize an antibiogram for clinical decision-making
Generating an antibiogram
Improving your current antibiogram
Educating other clinicians on usage and importance of antibiogram
Incorporating antibiograms as part of antimicrobial stewardship
Other
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