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The goal of the Combating Antimicrobial Resistance through Rapid Implementation of Available Guidelines & Evidence (CARRIAGE) QUERI program is to address the growing public health crisis of antimicrobial resistance through strategies that support the uptake of new and existing evidence-based practices, policies, and programs targeting the improved use of antibiotics and the prevention of healthcare-associated infections. CARRIAGE QUERI is a series of related projects unified around the common goal of arresting and potentially reversing the spread of antimicrobial resistance in VA healthcare facilities and beyond. Specific objectives are to:
The CARRIAGE QUERI program is expected to have substantial and long-lasting impact in improving VA quality of care and patient safety, both by leveraging the current investments of its operational partners in the form of national initiatives or guidelines – and by informing future infection prevention and patient safety efforts, including the implementation of future VA-wide practice guidelines or bundles. Better control of the spread of antimicrobial-resistant organisms within VA healthcare facilities is expected through:
Principal Investigators: Michael Rubin, MD, PhD (michael.rubin2@va.gov); Charlesnika Evans, MPH, PhD; and Eli Perencevich, MD, MS.
Principal Operational Partners: National Infectious Diseases Service (NIDS), MDRO Program Office, National Center for Patient Safety (NCPS), VA Antimicrobial Stewardship Task Force, and the National Center for Occupational Health and Infection Control (COHIC).