iNICQ Antibiotic Stewardship: Choosing Antibiotics Wisely

Project Status: In Sustainment

Years Active: 2016-2018

Project Aim

While hospitals often have antibiotic stewardship teams focused on adult patients, iNICQ 2017 will focus specifically on key components of antibiotic stewardship programs within NICUs. For full AIM and additional information, visit:

Project Narrative

TIPQC was able to fund and offer the Vermont Oxford Network iNICQ choosing antibiotics wisely as a State Collaborative. Twenty-eight teams worked to reduce unnecessary antibiotic usage in 2016 with an additional 12 teams continuing the work in 2017.

Overuse and misuse of antibiotics is common in NICUs. In fact, studies show a 40-fold variation in prescribing practices across NICUs (as described by Schulman et al. in Pediatrics, May 2015 with 127 California NICUs). Alert to the growing danger, the CDC has identified antibiotic overuse as one of the “top five” targets for improvement, and has proposed core elements for hospital-based antibiotic stewardship programs designed to promote appropriate use of antibiotics. To help support this needed change, the CDC worked collaboratively with VON in the development of iNICQ.

Participating Hospitals

2018 TEAMS

2017 TEAMS

2016 TEAMS

  • Baptist Memorial Hospital for Women
  • Baptist Memorial Hospital, Tipton
  • Baptist Memorial Hospital, Union City
  • Blount Memorial Hospital
  • Bristol Regional Medical Center
  • Centennial Women’s and Children’s TriStar
  • Children’s Hospital at Erlanger
  • Cookeville Regional Medical Center
  • Erlanger East Hospital
  • Franklin Woods Community Hospital
  • Hardin Medical Center
  • Tennova Health-Clarksville (previously Gateway Medical Center)
  • Jackson-Madison County General Hospital
  • Johnson City Medical Center/Niswonger Children’s Hospital
  • Laughlin Memorial Hospital
  • Maury Regional Medical Center
  • Monroe Carell Jr. Children’s Hospital at Vanderbilt
  • Nashville General Hospital at Meharry
  • Regional One Health
  • River Park Hospital
  • Takoma Regional Hospital
  • TriStar Summit Medical Center
  • University of Tennessee Medical Center, Knoxville
  • University Medical Center
  • Wellmont Holston Valley Medical Center
  • Williamson Medical Center