DRIVE-AMS Antimicrobial Stewardship Quality Improvement (QI) Project
A structured antimicrobial stewardship (AMS) quality improvement initiative aimed at improving antibiotic prescribing practices, strengthening hospital AMS systems, and enhancing patient outcomes across Kenyan healthcare facilities.
Project Background
Kenyan hospitals continue to face suboptimal antimicrobial prescribing practices, largely driven by weak stewardship systems and limited structured quality improvement frameworks.
Prior to this intervention, there was no standardized AMS training course for hospital teams, resulting in inconsistent prescribing behaviours and poor documentation of antibiotic use.
The DRIVE-AMS initiative was introduced to close this gap by equipping hospital teams with structured tools and methodologies for improving antimicrobial use through quality improvement cycles.
Project Statistics
1st
Kenyan DRIVE-AMS Cohort
11
Participating Facilities
88%
Documentation Improvement
3
Key AMS QI Components
Project Objectives
Improve Prescribing Practices
Strengthen rational antibiotic use through structured antimicrobial stewardship interventions.
Quality Improvement Systems
Implement structured QI frameworks to continuously improve AMS performance in hospitals.
Multidisciplinary Engagement
Strengthen collaboration among clinicians, pharmacists, and nurses in AMS activities.
Standardized AMS Tools
Develop and implement antibiotic treatment sheets and review tools for hospitals.
Key Interventions
- Participation in DRIVE-AMS AMS training course
- Design of antibiotic time-out review system
- Optimised antibiotic prescribing framework
- Development of antibiotic treatment sheets
- Hospital-level AMS QI project implementation
- Monitoring and evaluation of AMS indicators
- Multidisciplinary team engagement
- National programme reporting and review participation
Leadership Role
Position
Hospital Lead
Partners
Spice Global, DRIVE-AMS, Aga Khan University
Led hospital-level QI project design and implementation
Developed antibiotic treatment sheets and AMS tools
Monitored AMS indicators and evaluated outcomes
Represented facility in national programme review
AMS Quality Improvement Focus Areas
Major Achievements & AMS Impact
National Winners
Awarded winners of the DRIVE-AMS QI project among 11 Kenyan participating facilities.
Improved Documentation
Achieved 88% improvement in antimicrobial prescribing documentation practices.
Better Prescribing Practices
Improved rational antibiotic use through structured time-out review systems.
System Strengthening
Strengthened hospital AMS systems through QI-driven interventions and tools.
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