Starting and Growing Your Antimicrobial Stewardship Program (ASP)


Are you interested in starting an Antimicrobial Stewardship Program at your facility?  This section contains information and resources that will help you develop and grow an ASP that will meet your institution’s needs.

The development and implementation of an ASP can be modelled on the effective change initiatives by author John Kotter (Figure 1).

Figure 1. Kotter's eight-stage process for creating major change.

The “Change Process”

  1. 1. Gather and analyze data—establish a sense of urgency
  2. 2. Create the guiding coalition—determining membership and reporting structure of your ASP
  3. 3. Create a vision and strategy for your ASP
  4. 4. Communicate the vision
  5. 5. Empower others to act on the vision
  6. 6. Plan for and create short-term wins of your ASP
  7. 7. Consolidate gains and produce more change
  8. 8. Anchor new approaches in the culture

Useful link(s)


  • Morris AM, Stewart TE, Shandling M, McIntaggart S, Liles WC. Establishing an Antimicrobial Stewardship Program. Healthc Q 2010;13(2):64-70.
  • Kotter JP. Leading Change. Boston:  Harvard Business School Press, Boston 1995.