How Should Clinicians Navigate Interprofessional Tension in Their Roles as Antimicrobial Stewards?

AMA J Ethics. 2024 Jun 1;26(6):E441-447. doi: 10.1001/amajethics.2024.441.

Abstract

Pharmacists and physicians play key roles in antimicrobial stewardship. This commentary on a case describes these health professionals' need to collaborate to optimize therapeutic use of antimicrobials in clinical settings. Prescription preauthorization is one antimicrobial stewardship strategy that can meet with some physicians' frustration and generate conflict between pharmacists and prescribing physicians, particularly when pharmacists make alternative treatment recommendations. This commentary considers interprofessional tension concerning prescription preauthorization and suggests strategies for navigating such conflict.

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Antimicrobial Stewardship*
  • Attitude of Health Personnel
  • Cooperative Behavior
  • Drug Prescriptions / standards
  • Humans
  • Interprofessional Relations* / ethics
  • Pharmacists* / ethics
  • Physicians* / ethics
  • Practice Patterns, Physicians' / ethics
  • Professional Role

Substances

  • Anti-Bacterial Agents