Antimicrobial Stewardship Survey Form
Please complete this survey to help us understand current antimicrobial stewardship practices. Your responses will inform improvements in stewardship efforts.
What is your primary professional role?
*
Please Select
Physician
Pharmacist
Nurse
Infection Preventionist
Other
How often do you participate in antimicrobial stewardship activities?
*
Daily
Weekly
Monthly
Rarely
Never
Please indicate your level of agreement with the following statements about antimicrobial prescribing:
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I follow local guidelines for antimicrobial prescribing
1
2
3
4
5
I consider antimicrobial resistance when prescribing
6
7
8
9
10
I feel confident in selecting appropriate antimicrobials
11
12
13
14
15
Which factors most influence your antimicrobial prescribing decisions? (Select all that apply)
*
Patient clinical condition
Microbiology results
Local guidelines
Peer recommendations
Cost considerations
Other
How is antimicrobial use monitored in your setting?
*
Regular audits
Electronic surveillance
Manual review
Not monitored
How would you rate the effectiveness of current antimicrobial stewardship interventions in your setting?
*
1
2
3
4
5
How often do you receive education or training on antimicrobial stewardship?
*
At least annually
Every few years
Rarely
Never
What are the main barriers to effective antimicrobial stewardship in your setting? (Select all that apply)
*
Lack of resources
Limited staff engagement
Inadequate training
Resistance to change
Other
Please share any suggestions or comments on improving antimicrobial stewardship in your setting.
Submit Survey
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