Improving antibiotic prescribing practice in a respiratory ward

"This project aims to improve compliance with documentation of indication and duration of antibiotic use in line with our local antibiotic prescribing guidelines. Post-intervention results were encouraging with compliance rates increasing from 24% to 94% for indication, and from 39% to 71% for duration."

Antimicrobial stewardship: Improving antibiotic prescribing practice in a respiratory ward
JM Yeo
BMJ Quality Improvement Reports 2016;5: doi:10.1136/bmjquality.u206491.w3570

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Using a simple handover to improve the timing of gentamicin levels

"Prior to our intervention, the timing of gentamicin levels was poorly performed, with 42.2% of levels taken late and two episodes of missed doses were reported."

Using a simple handover to improve the timing of gentamicin levels
A Williamson, A Bradley, K Khan
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u207727.w3081

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CQUIN audit for prescription of antibiotics for urinary tract infections in an acute medical assessment unit

"The interventions we introduced appeared to have dramatic results over a short space of time, with an improvement of compliance with the antibiotic guidelines to 100% and also documentation improving to 100% accuracy."
CQUIN audit for prescription of antibiotics for urinary tract infections in an acute medical assessment unit
M Oppenheimer, N Rezwan
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u208446.w3374

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Stopping perioperative antibiotics for post-tonsillectomy morbidity

"Considering the implications for development of antibiotic resistance with increased antibiotic use and the lack of clinical benefits demonstrated by this review, routine perioperative antibiotic prescription for tonsillectomy is not recommended."

Stopping perioperative antibiotics for post-tonsillectomy morbidity: QIPP Case Study
Quality and productivity collection examples
The UK Cochrane Centre and NICE
March 2015

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Shared decision making does not influence physicians against clinical practice guidelines

"Intention to adopt shared decision making regarding the use of antibiotics to treat acute respiratory tract infections does not negatively influence physicians’ intention to use clinical practice guideline recommendations in the same clinical context, including after exposure to a training program in shared decision making."

Shared decision making does not influence physicians against clinical practice guidelines
M Guerrier, F Legare, S Turcotte, M Labrecque, LP Rivest
PLoS ONE, 2013, 8(4):e62537

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