An evaluation of indication-based pre-written orders for antibiotics

An evaluation of indication-based pre-written orders for antibiotics
Project Members - Macquarie University
Senior Research Fellow
Project Members - External
Dr Elin Lehnbom, The University of Sydney
Ms Kate Richardson, St Vincent's Hospital
Anmol Sandhu, St Vincent's Hospital
Professor Ric Day, St Vincent's Hospital
Project Main Description

There is now little doubt that the inappropriate use of antibiotics (abx) contributes to the emergence of resistance and that improving abx use is necessary for the containment of resistance. Many interventions have been trialled in an attempt to improve abx use (e.g. education, audit and feedback, computerised decision support). In this study, we evaluated the effectiveness of redesigning computerised decision support to improve abx prescribing. 

Aims

In this study, we aimed to determine whether the redesign of computerised decision support embedded in a hospital electronic prescribing system results in more accurate selection of antibiotic indications and more compliant and appropriate antibiotic prescribing.

Design and Method

An audit of over 1000 antibiotic prescriptions was undertaken, in combination with interviews with prescribers.

Project Details

NHMRC Program Grant APP1054146

Project Status
Current

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