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Erschienen in: Irish Journal of Medical Science (1971 -) 4/2019

27.02.2019 | Original Article

The effect of re-audit and education on antibiotic prescribing practice at Causeway Hospital, Northern Ireland

verfasst von: David N. Johnston, Fatemeh Keshtkar, William Campbell

Erschienen in: Irish Journal of Medical Science (1971 -) | Ausgabe 4/2019

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Abstract

Background

Antimicrobial resistance is a growing global problem. There has been increasing emphasis on promoting antimicrobial stewardship. Accurate completion of antibiotic prescriptions, such as documentation of clinical indication and a stop/review date, helps promote antimicrobial stewardship.

Aims

To investigate the impact of educational interventions on the completeness of antibiotic prescriptions at Causeway Hospital surgical unit.

Methods

Inpatient drug prescription charts were audited to monitor the completeness of antibiotic prescriptions on the surgical unit. Two educational interventions were implemented, with a subsequent prospective re-audit carried out.

Results

The completion of (1) “Stop date/Review date”, (2) “What infection are you treating?”, (3) “Cultures sent?”, (4) “Printed name”, (5) “Professional number”, and (6) “Bleep number” fields within the inpatient drug charts increased noticeably in the re-audit. A paired t test, comparing all of the initial audit completion proportions with the re-audit completion proportions, demonstrated a statistically significant improvement (p < 0.05).

Conclusions

Educational interventions led to an improvement in the completeness of antibiotic prescriptions. This highlights the important role that continued audit and education play in the promotion of antimicrobial stewardship.
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Metadaten
Titel
The effect of re-audit and education on antibiotic prescribing practice at Causeway Hospital, Northern Ireland
verfasst von
David N. Johnston
Fatemeh Keshtkar
William Campbell
Publikationsdatum
27.02.2019
Verlag
Springer London
Erschienen in
Irish Journal of Medical Science (1971 -) / Ausgabe 4/2019
Print ISSN: 0021-1265
Elektronische ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-019-01995-9

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