Identification of targets for quality improvement in antimicrobial prescribing: the web-based ESAC Point Prevalence Survey 2009
| Autor: | Giorgio Zanetti, Arno Muller, Silvio Brusaferro, Raul Raz, Outi Lyytikäinen, Bruch Marcel, Jon Birger Haug, Sigrid Metz-Gercek, Jonathan Cooke, Xavier Bertrand, Gabor Ternak, Margreet Filius, Svetlana Ratchina, Vitalija Butkyte, Piret Mitt, Gunilla Skoog, Niels Frimodt-Møller, Arjana Tambić Andrašević, Milan Čižman, Yesim Cetinkaya Sardan, Janina Pawlowksa, Mercedes Sora, Margaret Heginbothom, Jiri Vlcek, Nico Drapier, Hilde Jansens, B. Amadeo, Uga Dumpis, Hugh Webb, Ines Teixeira, Boyka Markova, R. Cunney, Anastasia Antoniadou, Peter Zarb, Peter Davey, Herman Goossens, Christiana Kontemeniotou, Vanessa Vankerckhoven |
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| Přispěvatelé: | ESAC-3 Hospital Care Subproject Group |
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Microbiology (medical)
medicine.medical_specialty Quality management Combination therapy Drugs -- Prescribing -- Research MEDLINE Prevalence Drug Prescriptions Surgical prophylaxis Electronic Prescribing Drugs -- Prescribing -- Europe Intensive care Electronic prescribing medicine Humans Pharmacology (medical) Practice Patterns Physicians' Intensive care medicine Quality of Health Care Pharmacology Internet business.industry Data Collection Anti-infective agents -- Therapeutic use Antimicrobial Drug Utilization Hospitals Anti-Bacterial Agents Europe Infectious Diseases Emergency medicine Guideline Adherence Human medicine business |
| Zdroj: | The journal of antimicrobial chemotherapy |
| ISSN: | 0305-7453 |
| Popis: | Objectives: Since electronic prescribing is limited to few hospitals, point prevalence surveys, such as the standardized European Surveillance of Antimicrobial Consumption point prevalence survey (ESAC PPS), are an alternative tool for monitoring prescribing and helping to identify performance indicators and prescribing trends. The main objective of this study was to identify and assess targets for quality improvement. Methods: Each hospital had to carry out the survey within 2 weeks. Each department had to be surveyed in 1 day. Data collected, for all inpatients, included age and gender. For patients on systemic antimicrobial treatment, the antimicrobial/s, infection/prophylaxis site, reason in medical notes and guideline compliance were also collected. A central database using a web-based tool (WebPPS) developed in-house was used for data entry. Results: Combination of two or more antimicrobials accounted for 30% of use. Surgical prophylaxis was prolonged (>1 day) in 53% of cases. 'Intensive care' had higher proportions of treated patients (53% versus 29%), combination therapy (49% versus 31%), hospital-acquired infections (49% versus 31%) and parenteral administration (91% versus 61%). 'Reason in notes' was documented in 76%, and 'guideline compliance' occurred in 62% of patients. Conclusions: The ESAC PPS provided useful information on the quality of prescribing, which identified a number of targets for quality improvement. These could apply to specific departments or whole hospitals. Intensive care, which has different characteristics, should not be compared with general wards with respect to combination therapy, hospital-acquired infections or parenteral proportion. The study confirmed that the ESAC PPS methodology can be used on a large number of hospitals at regional, national, continental or global level. The ESAC project was supported by a grant from the European Centre for Disease Prevention and Control (ECDC; Grant Agreement 2007/001). peer-reviewed |
| Databáze: | OpenAIRE |
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