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Infection Control42 CFR §483.80(a)(3)
F0881 — Antibiotic Stewardship Program
F0881 requires the facility to maintain an antibiotic stewardship program that includes antibiotic use protocols and a system to monitor antibiotic use, aimed at optimizing treatment and reducing inappropriate use and resistance risk.
Common Deficiency Examples
- Antibiotic prescribed without documented clinical criteria supporting the diagnosis
- No system in place to track or review antibiotic use facility-wide
- Stewardship program not integrated with the facility's QAPI process
- Missing protocols for common infections (e.g., UTI) that guide appropriate antibiotic use
What Your Plan of Correction Needs
F0881 PoCs should show the stewardship program functioning as an active review system, not just a policy:
Gap identifiedspecific instance or systemic absence of stewardship review
Immediate actionreview of the specific antibiotic order in question
Systemic fixdefined antibiotic use protocols and a tracking/review mechanism
Monitoring planperiodic antibiotic use review tied into QAPI, with defined frequency
Frequently Asked Questions
How is F0881 different from F0880?+
F0880 is the broader infection prevention and control program; F0881 is specific to antibiotic stewardship. A facility can be cited under one without the other.
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