Guidance Notes on the Antimicrobial Companion Audit Tool for the Antimicrobial Prescribing Quality Indicators 2017/18

Size: px
Start display at page:

Download "Guidance Notes on the Antimicrobial Companion Audit Tool for the Antimicrobial Prescribing Quality Indicators 2017/18"

Transcription

1 Guidance tes on the Antimicrobial Companion Audit Tool for the Antimicrobial Prescribing Quality Indicators 2017/18 Summary of the indicators The 2017/18 hospital antimicrobial prescribing quality indicators focus on: Documentation of the indication for antibiotic treatment Compliance of the antibiotic treatment with the local prescribing protocol Administration of all prescribed doses of Documentation of duration or stop date for oral Documentation of clinical review of IV or combination therapy within 72 hours, and outcome of the review Prescription of carbapenems N.B. These measures relate to infection episodes, rather than patients or prescriptions. These measures will be collected by staff in boards through the Antimicrobial Companion app. Sampling strategy The audit will be conducted locally by clinical staff using the Antimicrobial Companion app. Data will be collected from patients prescribed, with each data submission relating to an individual infection episode. The audit should be completed in a minimum of 3 wards in each acute hospital and should include at least one Medical and one Surgical ward with a minimum of 10 infection episodes per month in each ward*. *In Island boards, data should be collected in acute wards for 20 infection episodes per month and if there are <20 episodes, data will be aggregated over 2 or 3 months. Detail of the indicators Measure Numerator Denominator Percentage of infection episodes with an indication for antibiotic treatment documented in the medical notes. Number of episodes with an indication for the antibiotic treatment documented in the medical notes. Total number of infection episodes sampled. Target 95% of episodes with an indication documented 1

2 Measure Percentage of infection episodes where the choice of antibiotic(s) is compliant with the local prescribing protocol for the documented indication, or the reason for deviation is documented in the medical notes. Numerator Number of episodes where antibiotic treatment follows local antibiotic policy for the indication documented in the medical notes OR is off policy but the reason for deviation is clearly documented in the medical notes. Denominator Total number of infection episodes sampled minus those without a documented indication (as compliance with policy cannot be assessed if the indication is not known). Target 95% compliance with local policy Measure (computed for both oral and IV/combination) Numerators For oral and IV or combination, the percentage of infection episodes with all doses of all prescribed administered, or a suitable reason for omitting dose(s) documented on the medicine chart or within electronic records. For only oral and for IV or combination, the number of episodes with a signature/initials on the medicine chart or electronic record against every dose prescribed, or if one or more doses were omitted there is a suitable reason documented for each missed dose. N.B. unavailability of an antibiotic is not a suitable reason for missing a dose. Denominators Total number of episodes where only oral were prescribed and total number of episodes where IV or combination were prescribed. Target 95% of episodes have all doses administered or a suitable reason for missed doses documented, for both oral and IV Measure Numerator Denominator Percentage of episodes that have a duration or stop date documented for all oral prescribed. Number of episodes with documented evidence in the clinical notes and/or kardex that the clinical team have specified the treatment duration or a stop date for every oral antibiotic prescribed. Number of episodes where oral were prescribed. Target Duration or stop date documented in at least 60% of episodes by the end of quarter 3 and in at least 80% of episodes by the end of March

3 Measure Number of episodes where an IV carbapenem was prescribed. Target There is no target for this measure, only the numbers will be recorded. Measure Numerator Percentage of episodes with evidence of clinical review within 72 hours of commencing treatment for all IV or combination IV+oral. Number of episodes with documented evidence in the clinical notes and/or kardex that within 72 hours of commencing treatment, the clinical team have reviewed the need for all IV prescribed, or all prescribed as IV and oral combination therapy. The definition of a clinical review is: a review to assess the ongoing requirement for that is conducted by a prescriber and is documented with a date. Denominator Number of episodes where IV were prescribed, minus those where a review is not documented but where the patient has been on IV for less than 72 hours. Target Sub-measure Evidence of clinical review documented in at least 60% of episodes by the end of quarter 3 and in at least 80% of episodes by the end of March Number of episodes where if a review of all occurred, the documented outcome was to: Stop all Continue same IV/combination antibiotic(s): reason documented Continue same IV/combination antibiotic(s): no reason documented Escalate to different and/or additional IV/combination antibiotic(s) De-escalate to different IV/combination antibiotic(s) IV to oral switch Other N.B. If there was a different outcome for different in the same treatment episode, choose Other and specify in the comments section the number of with each different outcome e.g. 2 continued, 1 switched to oral. Best practice: if are continued, a reason should be given. As part of this audit, there is no requirement to assess the appropriateness of the reason or the clinical evidence for continuing the antibiotic, but these should be monitored locally. 3

4 Template Data Collection Form. (For use if you prefer not to input data directly through the app). Board Hospital Specialty Ward Month Year Possible outcomes of review: 1) Stop 2) Continue same IV/combination, reason given 3) Continue same IV/combination, no reason given 4) Escalate to another and/or additional IV/combination antibiotic(s) 5) De-escalate to another IV/combination antibiotic(s) 6) IV to oral switch 7) Other Episode Indication documented? If indication documented, compliant with policy? Only oral If only oral administered? All durations/ stop dates documented? IV or IV+oral combination 4 Carbapenem If IV or IV+oral combination prescribed administered? Documented review of all by 72 hours? If no review, has it been <72 hours? If reviewed, what was the outcome? 1 Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N

5 Example of Data Collection Hospital and board Infection episode Indication documented? / with policy? / Only oral / If only oral administered? / All duration/ stop dates documented? / IV or IV+oral combination / Carbapenem / If IV or IV+oral combination prescribed administered? / Documented review of all drugs by 72 hours? / If no review has it been <72 hours? / If reviewed, what outcome? 1 N/A N/A N/A IV to oral 2 N/A N/A N/A N/A N/A 3 N/A N/A N/A N/A 4 N/A N/A N/A 5 N/A N/A N/A N/A N/A 6 N/A N/A N/A Stop ABs Example results Hospital and board Sample size 6 Indication documented 5/6 83% with policy 4/5 80% Only oral prescribed 2/6 33% If only oral administered 1/2 50% All duration/ stop dates documented 1/2 50% IV or IV+oral combination prescribed 4/6 67% Carbapenem prescribed If IV or IV+oral combination prescribed administered 1 4/4 100% All IV or IV+oral prescribed for >72 hours have documented clinical review 2/3 67% Outcome of reviews 1 IV to oral, 1 stop ABs 5

6 Flowchart showing options for data collection. (The audit tool will guide you through this, enabling options based on your previous responses). Infection episode that is being treated with Indication for antibiotic treatment documented in the medical notes? Only oral IV or combination of IV+oral Antibiotic treatment compliant with local prescribing policy for the documented indication? n-compliant All prescribed doses administered as documented on the medicine chart? Duration or stop date for all oral documented in medical notes or medicine chart? Carbapenem Count Count All prescribed doses administered as documented on the medicine chart? Documented evidence of clinical review of all within 72 hours of starting treatment in medical notes or medicine chart? Reason for non-protocol choice documented? n-compliant Suitable* reason for each missed dose documented on the medicine chart? n-compliant n-compliant n-compliant What was the outcome of review? 1. Stop 2. Continue, reason given 3. Continue, no reason 4. Escalate 5. De-escalate 6. IV to oral switch 7. Other Were IV/combination started <72 hours before data collection? Exclude from denominator n-compliant * An antibiotic not being available is not a suitable reason for missing a dose. 6

7 Frequently Asked Questions Question. Will reporting be for overall compliance or compliance for each individual measure? Answer. Compliance will be reported for each measure. Question. Can individual measures be collected separately from different patients in different ward areas? For example could nurses collect the doses administered measure in one ward and the AMT or pharmacy team collect compliance and IV review in another ward? Answer.. We are aiming for all elements of prescribing and administration to be correct in every infection episode. Question. If data is collected for a patient on IV or combination therapy, can we collect data on the same patient when they are switched to oral therapy only? Answer. because we are interested in the process for prescribing, administering and monitoring. Question. Some patients are in hospital for prolonged periods, is it acceptable to collect data on the patient each time the drug therapy changes? Answer. because we are interested in the process for prescribing, administering and monitoring. Question. If the reason for a missed dose is documented in the notes, is it correct that we shouldn't count this as a missed dose, or is that only the case if the reason documented is acceptable? Answer. Acceptable reasons will have a code so the reason should not require interpretation. If certain codes are repeatedly used and may have an adverse effect on patient care then data should be shared with the clinical team to highlight that improvement is required. Question. These audits are assigned to downstream wards so what if the missed dose happened in the receiving ward? Staff in downstream wards may not be happy to take responsibility for doses missed prior to coming to the ward. Answer. We are just monitoring documentation so all data should be included. However the results should be shared with receiving wards if that is where the problem with missed doses lies. Question. The audit won t distinguish between an infection episode with one missed dose and an episode with many missed doses. Should we not put some kind of weighting on this measure? Answer. We are aiming for all elements of prescribing and administration to be correct for every episode but acknowledge we have a long way to go to achieve this. Detail of numbers should be shared with the clinical team who can make improvements and their response will vary depending on how bad the results are. Question. Is the medicine chart the only place a duration or review date should be recorded for oral? Answer., it could also be in the medical notes. 7

8 Question. For oral, does duration/stop date have to be recorded or does a review of count? Answer. A review does not count: duration or stop date should be recorded as the duration will be specified within the local guideline. An exception to this might be if the diagnosis was unclear, in which case the recommendation would be to not include the infection episode in the audit. Question. If the patient is on both IV and oral drugs (e.g. pip/taz IV and oral clarithromycin) for the same infection episode, how should this be handled? The duration for the oral drug usually depends on the diagnosis and the response to IV therapy so it is unlikely that a duration can be stated. Answer. If a patient is on combination IV and oral therapy for an infection episode, respond accordingly to the question IV or combination prescribed and complete the subsequent questions in the same way as you would if they were only prescribed IV. Question. What constitutes an acceptable documented review for IV or combination therapy? Often, continue on IV is written after routine daily review. Because of this, a duration or specific review date for IV/combination may not be recorded but the review is actually taking place. Answer. There must be documentation of a review by a prescriber with the date the review was conducted. Best practice is that when IV or combination are continued, a reason for continuing is specified, rather than simply writing continue on IV. The sub-measure of the outcome of review will capture whether a reason for continuing is documented. Question. For IV or combination therapy, if there is no evidence of a clinical review but there is a duration on the Kardex would that be considered acceptable as a review? Answer., this is not sufficient to constitute a review. Even for indications where treatment duration is known and can be documented at the time of prescribing (e.g. give 14 days of IV therapy), review of the patient should still take place to ensure they are responding to treatment. 8

9 Using the audit tool To submit data: Go to the QI Audit section on the mobile app, or to the website For each infection episode sampled, select the appropriate option from each of the dropdown menus and for each radio button. Add any comments as required e.g. if you want to note that someone different to usual is collecting the data or if there are different outcomes to the review of multiple IV/combination within the same infection episode. Press Submit Audit Data. These guidance notes can be opened using the Guidance button at the top left of the page. To view audit data: Go to the admin page Select a date range and the board, specialty(s), hospital(s) and ward(s) you would like to show results for. Press Generate report to view data. The results will be displayed in a table and as graphs for each of the measures. Click the View details option in the table to show each individual data entry for that month. Click outside of the table of individual entries to close it and return to the main results page. To delete an entry, press View details then Delete. Press Download to download a csv file with the data, which can be opened in a spreadsheet program such as Excel. You can also submit data from the admin page using the Add entry button. 9

Quality indicators and outcomes in the devolved nations Scotland

Quality indicators and outcomes in the devolved nations Scotland Quality indicators and outcomes in the devolved nations Scotland Dr Jacqueline Sneddon, MRPharmS Project Lead, Scottish Antimicrobial Prescribing Group Federation of Infection Societies Conference Birmingham,

More information

Part 2c and 2d CQUIN 2018/19 webinar, 22 February 2018 Answers to questions asked

Part 2c and 2d CQUIN 2018/19 webinar, 22 February 2018 Answers to questions asked Part 2c and 2d CQUIN 2018/19 webinar, 22 February 2018 Answers to questions asked 1. What is the weighting in the CQUIN between the consultant review of antibiotics and the infection pharmacist? This section

More information

Commonwealth of Kentucky Antibiotic Stewardship Practice Assessment For Long-Term Care Facilities

Commonwealth of Kentucky Antibiotic Stewardship Practice Assessment For Long-Term Care Facilities Commonwealth of Kentucky Antibiotic Stewardship Practice Assessment For Long-Term Care Facilities Introduction As the problem of antibiotic resistance continues to worsen in all healthcare setting, we

More information

CQUIN 2016/17. Anti-Microbial Resistance (AMR) Frequently Asked Questions

CQUIN 2016/17. Anti-Microbial Resistance (AMR) Frequently Asked Questions CQUIN 2016/17 Anti-Microbial Resistance (AMR) Frequently Asked Questions NHS England INFORMATION READER BOX Directorate Medical Commissioning Operations Patients and Information Nursing Trans. & Corp.

More information

Development of a NI Regional Medication Chart with separate antimicrobial section

Development of a NI Regional Medication Chart with separate antimicrobial section Development of a NI Regional Medication Chart with separate antimicrobial section Caroline Mallon, Fiona Gallagher, Cairine Gormley, Bernie McCullagh, Ann McCorry Regional Antimicrobial Pharmacist Network

More information

Promoting Appropriate Antimicrobial Prescribing in Secondary Care

Promoting Appropriate Antimicrobial Prescribing in Secondary Care Promoting Appropriate Antimicrobial Prescribing in Secondary Care Stuart Brown Healthcare Acquired Infection and Antimicrobial Resistance Project Lead NHS England March 2015 Introduction Background ESPAUR

More information

ANTIMICROBIAL STEWARDSHIP START SMART THEN FOCUS Guidance for Antimicrobial Stewardship for SHSCT

ANTIMICROBIAL STEWARDSHIP START SMART THEN FOCUS Guidance for Antimicrobial Stewardship for SHSCT ANTIMICROBIAL STEWARDSHIP START SMART THEN FOCUS Guidance for Antimicrobial Stewardship for SHSCT CLINICAL GUIDELINES ID TAG Title: Prepared by Specialty / Division: Directorate: Antimicrobial Stewardship

More information

Define evidence based practices for selection and duration of antibiotics to treat suspected or confirmed neonatal sepsis

Define evidence based practices for selection and duration of antibiotics to treat suspected or confirmed neonatal sepsis GLOBAL AIM: Antibiotic Stewardship Perinatal Quality Improvement Teams (PQITs) will share strategies and lessons learned to develop potentially better practices and employ QI methodologies to establish

More information

UPDATE ON ANTIMICROBIAL STEWARDSHIP REGULATIONS AND IMPLEMENTATION OF AN AMS PROGRAM

UPDATE ON ANTIMICROBIAL STEWARDSHIP REGULATIONS AND IMPLEMENTATION OF AN AMS PROGRAM UPDATE ON ANTIMICROBIAL STEWARDSHIP REGULATIONS AND IMPLEMENTATION OF AN AMS PROGRAM Diane Rhee, Pharm.D. Associate Professor of Pharmacy Practice Roseman University of Health Sciences Chair, Valley Health

More information

Optimizing Antimicrobial Stewardship Activities Based on Institutional Resources

Optimizing Antimicrobial Stewardship Activities Based on Institutional Resources Optimizing Antimicrobial Stewardship Activities Based on Institutional Resources Andrew Hunter, PharmD, BCPS Infectious Diseases Clinical Pharmacy Specialist Michael E. DeBakey VA Medical Center Andrew.hunter@va.gov

More information

Stewardship tools. Dilip Nathwani Ninewells Hospital and Medical School Dundee, UK

Stewardship tools. Dilip Nathwani Ninewells Hospital and Medical School Dundee, UK Stewardship tools Dilip Nathwani Ninewells Hospital and Medical School Dundee, UK What is Antimicrobial Stewardship (AMS)? Antimicrobial stewardship has been defined as the optimal selection, dosage, and

More information

An audit of the quality of antimicrobial prescribing

An audit of the quality of antimicrobial prescribing An audit of the quality of antimicrobial prescribing Rakhee Patel, Antimicrobial Pharmacist Alison Williams, Antimicrobial Technician & Dr Armando Gonzalez-Ruiz May 2011 ICE Score 2 Introduction & Aims

More information

Supporting document Antibiotics monitoring Short database instructions for veterinarians

Supporting document Antibiotics monitoring Short database instructions for veterinarians Supporting document Antibiotics monitoring Short database instructions for veterinarians Content 1 First steps... 3 1.1 How to log in... 3 1.2 Start-screen... 4 1.3. Change language... 4 2 How to display

More information

Antibiotic Prophylaxis in Spinal Surgery Antibiotic Guidelines. Contents

Antibiotic Prophylaxis in Spinal Surgery Antibiotic Guidelines. Contents Antibiotic Prophylaxis in Spinal Antibiotic Guidelines Classification: Clinical Guideline Lead Author: Antibiotic Steering Committee Additional author(s): Authors Division: DCSS & Tertiary Medicine Unique

More information

ANTIMICROBIALS PRESCRIBING STRATEGY

ANTIMICROBIALS PRESCRIBING STRATEGY Directorate of Operations Clinical Support Services Diagnostic Services Pharmacy ANTIMICROBIALS PRESCRIBING STRATEGY Reference: DCM021 Version: 2.0 This version issued: 25/04/16 Result of last review:

More information

Hot Topics in Antimicrobial Stewardship. Meghan Brett, MD Medical Director, Antimicrobial Stewardship University of New Mexico Hospital

Hot Topics in Antimicrobial Stewardship. Meghan Brett, MD Medical Director, Antimicrobial Stewardship University of New Mexico Hospital Hot Topics in Antimicrobial Stewardship Meghan Brett, MD Medical Director, Antimicrobial Stewardship University of New Mexico Hospital Antimicrobial Stewardship Goals Primary Goal Optimize clinical outcomes

More information

Jump Start Stewardship

Jump Start Stewardship Jump Start Stewardship Webinar 2: Building your Stewardship Team and Selecting Interventions and Targets for your Implementation Welcome Thank you for your time today This webinar will be recorded for

More information

Surveillance of antimicrobials - establishing a national point prevalence system. Maggie Heginbothom Public Health Wales

Surveillance of antimicrobials - establishing a national point prevalence system. Maggie Heginbothom Public Health Wales Surveillance of antimicrobials - establishing a national point prevalence system Maggie Heginbothom Public Health Wales Antimicrobial Stewardship http://www.cdc.gov/getsmart/ https://www.gov.uk/government/publications/an

More information

These recommendations were approved for use by the Pharmaceutical and Therapeutics Committee, RCWMCH on 1 February 2017.

These recommendations were approved for use by the Pharmaceutical and Therapeutics Committee, RCWMCH on 1 February 2017. Antibiotic regimens for suspected hospital-acquired infection (HAI) outside the Paediatric Intensive Care Unit at Red Cross War Memorial Children s Hospital (RCWMCH) Lead author: Brian Eley Contributing

More information

Coding with Scratch - First Steps

Coding with Scratch - First Steps Getting started Starting the Scratch program To start using Scratch go to the web page at scratch.mit.edu. Page 1 When the page loads click on TRY IT OUT. Your Scratch screen should look something like

More information

Antimicrobial Stewardship

Antimicrobial Stewardship Antimicrobial Stewardship Report: 11 th August 2016 Issue: As part of ensuring compliance with the National Safety and Quality Health Service Standards (NSQHS), Yea & District Memorial Hospital is required

More information

Antimicrobial Stewardship: Setting minimum expectations for optimizing antimicrobial use and addressing resistance

Antimicrobial Stewardship: Setting minimum expectations for optimizing antimicrobial use and addressing resistance Antimicrobial Stewardship: Setting minimum expectations for optimizing antimicrobial use and addressing resistance Loria Pollack, MD, MPH Centers for Disease Control and Prevention Division of Healthcare

More information

POINT PREVALENCE SURVEY A tool for antibiotic stewardship in hospitals. Koen Magerman Working group Hospital Medicine

POINT PREVALENCE SURVEY A tool for antibiotic stewardship in hospitals. Koen Magerman Working group Hospital Medicine POINT PREVALENCE SURVEY A tool for antibiotic stewardship in hospitals Koen Magerman Working group Hospital Medicine Background Strategic plan By means of a point prevalence survey and internal audits

More information

What can we learn from point prevalence surveys? Mark Gilchrist Consultant Pharmacist Infectious Diseases

What can we learn from point prevalence surveys? Mark Gilchrist Consultant Pharmacist Infectious Diseases What can we learn from point prevalence surveys? Mark Gilchrist Consultant Pharmacist Infectious Diseases Imperial College Healthcare NHS Trust mark.gilchrist@imperial.nhs.uk Outline Placing point prevalence

More information

MEASURING ANTIBIOTIC USE IN LTCFS

MEASURING ANTIBIOTIC USE IN LTCFS MEASURING ANTIBIOTIC USE IN LTCFS ELIZABETH DODDS ASHLEY, PHARMD, MHS LIAISON CLINICAL PHARMACIST ASSOCIATE PROFESSOR OF MEDICINE Objectives - Compare and contrast advantages and disadvantages to various

More information

2 emb-pigs User Guide

2 emb-pigs User Guide User guide 2 emb-pigs User Guide What is emb-pigs? The electronic medicines book for pigs (emb-pigs) was launched in April 2016 by AHDB, with support from the Veterinary Medicines Directorate (VMD) in

More information

Hospital Antimicrobial Stewardship Program Assessment Checklist

Hospital Antimicrobial Stewardship Program Assessment Checklist Hospital Antimicrobial Stewardship Program Assessment Checklist This checklist should be used to determine which aspects of antimicrobial stewarship (AMS) programs are already in place to ensure optimal

More information

Potential Conflicts of Interest. Schematic. Reporting AST. Clinically-Oriented AST Reporting & Antimicrobial Stewardship

Potential Conflicts of Interest. Schematic. Reporting AST. Clinically-Oriented AST Reporting & Antimicrobial Stewardship Potential Conflicts of Interest Clinically-Oriented AST Reporting & Antimicrobial Stewardship Hsu Li Yang 27 th September 2013 Research Funding: Pfizer Singapore AstraZeneca Janssen-Cilag Merck, Sharpe

More information

Cephalosporins, Quinolones and Co-amoxiclav Prescribing Audit

Cephalosporins, Quinolones and Co-amoxiclav Prescribing Audit Cephalosporins, Quinolones and Co-amoxiclav Prescribing Audit Executive Summary Background Antibiotic resistance poses a significant threat to public health, as antibiotics underpin routine medical practice.

More information

Healthcare Facilities and Healthcare Professionals. Public

Healthcare Facilities and Healthcare Professionals. Public Document Title: DOH Guidelines for Antimicrobial Stewardship Programs Document Ref. Number: DOH/ASP/GL/1.0 Version: 1.0 Approval Date: 13/12/2017 Effective Date: 14/12/2017 Document Owner: Applies to:

More information

Sepsis Clinical Decision Support Tool

Sepsis Clinical Decision Support Tool Infection Intelligence Platform (IIP) Sepsis Clinical Decision Support Tool Study team: William Malcolm, Siân Robson, Charis Marwick, Kim Kavanagh, Siân Finlay, Meghan Bateson, Alison Cockburn & Andrea

More information

Antimicrobial Stewardship in Scotland

Antimicrobial Stewardship in Scotland Antimicrobial Stewardship in Scotland UKCPA/FIS Scientific Meeting 18 th November 2010 Triumphs and Unintended Consequences Dr Jacqueline Sneddon Project Lead for Scottish Antimicrobial Prescribing Group

More information

Updates in Antimicrobial Stewardship

Updates in Antimicrobial Stewardship Updates in Antimicrobial Stewardship Andrew Hunter, Pharm.D., BCPS Infectious Diseases Clinical Pharmacy Specialist Michael E. DeBakey VA Medical Center andrew.hunter@va.gov Disclosures No disclosures

More information

Digitally Delivering Improvements in Antimicrobial Stewardship

Digitally Delivering Improvements in Antimicrobial Stewardship Digitally Delivering Improvements in Antimicrobial Stewardship Amy Tse Deputy Lead Pharmacist for Clinical Informatics 6 th December 2017 Introduction Oxford University Hospitals NHS Foundation Trust went

More information

St. Joseph s General Hospital Vegreville. and. Mary Immaculate Care Centre. Antimicrobial Stewardship Report

St. Joseph s General Hospital Vegreville. and. Mary Immaculate Care Centre. Antimicrobial Stewardship Report St. Joseph s General Hospital Vegreville and Mary Immaculate Care Centre Antimicrobial Stewardship Report January to June 217 Introduction Antibiotics are among the most commonly prescribed medications

More information

Antimicrobial Stewardship-way forward. Dr. Sonal Saxena Professor Lady Hardinge Medical College New Delhi

Antimicrobial Stewardship-way forward. Dr. Sonal Saxena Professor Lady Hardinge Medical College New Delhi Antimicrobial Stewardship-way forward Dr. Sonal Saxena Professor Lady Hardinge Medical College New Delhi Lets save what we have! What is Antibiotic stewardship? Optimal selection, dose and duration of

More information

Changing behaviours in antimicrobial stewardship

Changing behaviours in antimicrobial stewardship Changing behaviours in antimicrobial stewardship Esmita Charani, MPharm, MSc Academic Research Pharmacist, PhD Candidate National Institute of Health Research Health Protection Unit Imperial College London

More information

Stewardship: Challenges & Opportunities in the Gulf Region

Stewardship: Challenges & Opportunities in the Gulf Region Stewardship: Challenges & Opportunities in the Gulf Region Mushira Enani, MBBS, FRCPE, FACP,CIC Head- Infectious Disease Section King Fahad Medical City Outline Background of Healthcare system in GCC GCC

More information

June 2009 (website); September 2009 (Update) consent, informed consent, owner consent, risk, prognosis, communication, documentation, treatment

June 2009 (website); September 2009 (Update) consent, informed consent, owner consent, risk, prognosis, communication, documentation, treatment GUIDELINES Informed Owner Consent Approved by Council: June 10, 2009 Publication Date: June 2009 (website); September 2009 (Update) To Be Reviewed by: June 2014 Key Words: Related Topics: Legislative References:

More information

Executive Summary: A Point Prevalence Survey of Antimicrobial Use: Benchmarking and Patterns of Use to Support Antimicrobial Stewardship Efforts

Executive Summary: A Point Prevalence Survey of Antimicrobial Use: Benchmarking and Patterns of Use to Support Antimicrobial Stewardship Efforts Executive Summary: A Point Prevalence Survey of Antimicrobial Use: Benchmarking and Patterns of Use to Support Antimicrobial Stewardship Efforts Investigational Team: Diane Brideau-Laughlin BSc(Pharm),

More information

AND MISCONCEPTIONS IN THE MANAGEMENT OF SEPSIS

AND MISCONCEPTIONS IN THE MANAGEMENT OF SEPSIS MYTHS AND MISCONCEPTIONS IN THE MANAGEMENT OF SEPSIS SEPSISMADE EASY SURVIVINGSEPSIS COOKBOOK SEPSIS ISAPIE MERVYN SINGER BLOOMSBURY INSTITUTE OF INTENSIVE CARE MEDICINE UNIVERSITY COLLEGE LONDON, UK DISCUSSION

More information

ASCENSION TEXAS Antimicrobial Stewardship: Practical Implementation Strategies

ASCENSION TEXAS Antimicrobial Stewardship: Practical Implementation Strategies ASCENSION TEXAS Antimicrobial Stewardship: Practical Implementation Strategies Theresa Jaso, PharmD, BCPS (AQ-ID) Network Clinical Pharmacy Specialist Infectious Diseases Seton Healthcare Family Ascension

More information

Advances in Antimicrobial Stewardship (AMS) at University Hospital Southampton

Advances in Antimicrobial Stewardship (AMS) at University Hospital Southampton Advances in Antimicrobial Stewardship (AMS) at University Hospital Southampton Dr Julian Sutton Consultant in Infectious Diseases & Medical Microbiology Federation of Infection Societies 1 st December,

More information

AUDIT OF THE REGIONAL GUIDELINES FOR FIRST-LINE EMPIRICAL ANTIBIOTIC THERAPY IN ADULTS

AUDIT OF THE REGIONAL GUIDELINES FOR FIRST-LINE EMPIRICAL ANTIBIOTIC THERAPY IN ADULTS AUDIT OF THE REGIONAL GUIDELINES FOR FIRST-LINE EMPIRICAL ANTIBIOTIC THERAPY IN ADULTS audit report by the northern ireland regional antimicrobial pharmacists network May 2011 Contents Executive Summary

More information

National Antimicrobial Prescribing Survey

National Antimicrobial Prescribing Survey Indication documented Surgical prophylaxis >24 hrs Allergy mismatch Microbiology mismatch Incorrect route Incorrect dose/frequency Incorrect duration Therapeutic Guidelines Local guidelines * Non-compliant

More information

Drug Utilization and Evaluation of Restricted Anti-Microbials at CWM Hospital

Drug Utilization and Evaluation of Restricted Anti-Microbials at CWM Hospital Drug Utilization and Evaluation of Restricted Anti-Microbials at CWM Hospital BY PHARMACY INTERNS 2007: ANNA ROSE PAVIHI MAKELESI COLATI VEEBHA CHAUHAN ANSHIL CHAND RAIJELI KAUYACA NAMRATA SINGH INTRODUCTION

More information

Antibiotic Stewardship and Critical Access Hospitals. Robert White, BA, PT, CPHQ Program Manager TMF Quality Innovation Network

Antibiotic Stewardship and Critical Access Hospitals. Robert White, BA, PT, CPHQ Program Manager TMF Quality Innovation Network Antibiotic Stewardship and Critical Access Hospitals Robert White, BA, PT, CPHQ Program Manager TMF Quality Innovation Network Antibiotic-Resistant Bacteria A serious threat to public health and the economy

More information

User Manual. Senior Project Mission Control. Product Owner Charisse Shandro Mission Meow Cat Rescue and Adoptions, Inc.

User Manual. Senior Project Mission Control. Product Owner Charisse Shandro Mission Meow Cat Rescue and Adoptions, Inc. User Manual Senior Project Mission Control Product Owner Charisse Shandro Mission Meow Cat Rescue and Adoptions, Inc. Team The Parrots are Coming Eric Bollinger Vanessa Cruz Austin Lee Ron Lewis Robert

More information

The Three R s Rethink..Reduce..Rocephin

The Three R s Rethink..Reduce..Rocephin The Three R s Rethink..Reduce..Rocephin By: Alisa Cuff RN,BN,CIC and John Bautista B.Sc. (Chem), B.Sc.Pharm, M.Sc.Pharm IPAC National Conference 2017 Newfoundland and Labrador Regional Health Authorities

More information

Antimicrobial Stewardship Northern Ireland

Antimicrobial Stewardship Northern Ireland Antimicrobial Stewardship Northern Ireland Dr Lorraine Doherty Assistant Director of Public Health (Health Protection) Public Health Agency 15 November 2011 Co Authors Dr Muhammad Sartaj. SpR Public Health

More information

The Core Elements of Antibiotic Stewardship for Nursing Homes

The Core Elements of Antibiotic Stewardship for Nursing Homes The Core Elements of Antibiotic Stewardship for Nursing Homes APPENDIX B: Measures of Antibiotic Prescribing, Use and Outcomes National Center for Emerging and Zoonotic Infectious Diseases Division of

More information

Antimicrobial stewardship

Antimicrobial stewardship Antimicrobial stewardship Magali Dodemont, Pharm. with the support of Wallonie-Bruxelles International WHY IMPLEMENT ANTIMICROBIAL STEWARDSHIP IN HOSPITALS? Optimization of antimicrobial use To limit the

More information

Jump Starting Antimicrobial Stewardship

Jump Starting Antimicrobial Stewardship Jump Starting Antimicrobial Stewardship Amanda C. Hansen, PharmD Pharmacy Operations Manager Carilion Roanoke Memorial Hospital Roanoke, Virginia March 16, 2011 Objectives Discuss guidelines for developing

More information

Surgical Antibiotic Prophylaxis: Adherence to hospital s guidelines

Surgical Antibiotic Prophylaxis: Adherence to hospital s guidelines Surgical Antibiotic Prophylaxis: Adherence to hospital s guidelines Abstract Aim: This study was designed to assess the compliance to local hospital guidelines for antimicrobial prophylaxis in general

More information

Concise Antibiogram Toolkit Background

Concise Antibiogram Toolkit Background Background This toolkit is designed to guide nursing homes in creating their own antibiograms, an important tool for guiding empiric antimicrobial therapy. Information about antibiograms and instructions

More information

Antimicrobial Stewardship In Residential Aged Care Facilities

Antimicrobial Stewardship In Residential Aged Care Facilities Poster Session HRT11420 Innovation Awards November 2014 Melbourne Antimicrobial Stewardship In Residential Aged Care Facilities Elizabeth Orr: Monash Health: Elevator Pitch- A pilot project was conducted

More information

Core Elements of Antibiotic Stewardship for Nursing Homes

Core Elements of Antibiotic Stewardship for Nursing Homes Core Elements of Antibiotic Stewardship for Nursing Homes Nimalie D. Stone, MD, MS Medical Epidemiologist for LTC Division of Healthcare Quality Promotion Centers for Disease Control and Prevention Antimicrobial

More information

11/22/2016. Antimicrobial Stewardship Update Disclosures. Outline. No conflicts of interest to disclose

11/22/2016. Antimicrobial Stewardship Update Disclosures. Outline. No conflicts of interest to disclose Antimicrobial Stewardship Update 2016 APIC-CI Conference November 17 th, 2016 Jay R. McDonald, MD Chief, ID Section VA St. Louis Health Care System Assistant Professor of medicine Washington University

More information

Update on current SAPG projects

Update on current SAPG projects Update on current SAPG projects SAPG Network event 2 nd November 2018 Jacqueline Sneddon Scottish Antimicrobial Prescribing Group Safeguarding antibiotics for Scotland, now and for the future Antifungal

More information

Antimicrobial Use Toolkit Webinar M A R C H 1 3,

Antimicrobial Use Toolkit Webinar M A R C H 1 3, Antimicrobial Use Toolkit Webinar M A R C H 1 3, 2 0 1 8 Welcome & Housekeeping Thank you for attending! HMS data abstractors Administrators QI staff Pharmacists Hospitalists ID physicians Individuals

More information

NHS Dumfries And Galloway. Surgical Prophylaxis Guidelines

NHS Dumfries And Galloway. Surgical Prophylaxis Guidelines NHS Dumfries And Galloway Surgical Prophylaxis Guidelines The aim of surgical prophylaxis is to reduce rates of surgical site and health-care associated infections and so reduce surgical morbidity and

More information

Downloaded from:

Downloaded from: Pollara, G; Bali, S; Marks, M; Bates, I; Collier, S; Balakrishnan, I (07) Time efficiency assessment of antimicrobial stewardship strategies. Clinical infectious diseases. ISSN 058-88 DOI: https://doi.org/0.09/cid/cix0

More information

Successful Antimicrobial Stewardship in a Multihospital System: Tools You Can Use

Successful Antimicrobial Stewardship in a Multihospital System: Tools You Can Use Successful Antimicrobial Stewardship in a Multihospital System: Tools You Can Use Justin Schmetterer, PharmD Infectious Disease Specialist jschmette2@phs.org 505-724-7146 Disclosure Relevant Financial

More information

Women s Antimicrobial Guidelines Summary

Women s Antimicrobial Guidelines Summary Women s Antimicrobial Guidelines Summary 1. Introduction and Who Guideline applies to This guideline has been developed to deliver safe and appropriate empirical use of antibiotics for patients at University

More information

Antimicrobial Stewardship

Antimicrobial Stewardship Antimicrobial Stewardship Background Why Antimicrobial Stewardship 30-50% of antibiotic use in hospitals are unnecessary or inappropriate Appropriate antimicrobial use is a medication-safety and patient-safety

More information

Antibiotics: Take a Time Out

Antibiotics: Take a Time Out Antibiotics: Take a Time Out Christine LaRocca, MD Telligen April 27, 2018 This material was prepared by Telligen, the Medicare Quality Innovation Network Quality Improvement Organization, under contract

More information

Inappropriate Use of Antibiotics and Clostridium difficile Infection. Jocelyn Srigley, MD, FRCPC November 1, 2012

Inappropriate Use of Antibiotics and Clostridium difficile Infection. Jocelyn Srigley, MD, FRCPC November 1, 2012 Inappropriate Use of Antibiotics and Clostridium difficile Infection Jocelyn Srigley, MD, FRCPC November 1, 2012 Financial Disclosures } No conflicts of interest } The study was supported by a Hamilton

More information

MEASURING ANTIBIOTIC USE IN LTCFS

MEASURING ANTIBIOTIC USE IN LTCFS MEASURING ANTIBIOTIC USE IN LTCFS ELIZABETH DODDS ASHLEY, PHARMD, MHS LIAISON CLINICAL PHARMACIST dason.medicine.duke.edu Sources for Antibiotic Data in Nursing Homes Purchasing data -Can be difficult

More information

ANTIMICROBIAL POLICY

ANTIMICROBIAL POLICY ANTIMICROBIAL POLICY Document Author Written By: Antimicrobial Pharmacist & Consultant Microbiologist Date: Jan 2018 Authorised Authorised By: Chief Executive Date: 13 th February 2018 Lead Director: Director

More information

Models for stewardship in Hospital - UK Models Philip Howard Consultant Antimicrobial Pharmacist

Models for stewardship in Hospital - UK Models Philip Howard Consultant Antimicrobial Pharmacist Models for stewardship in Hospital - UK Models Philip Howard Consultant Antimicrobial Pharmacist philip.howard2@nhs.net Twitter: @AntibioticLeeds United Kingdom of England, Scotland, Wales & Northern Ireland

More information

Impact of Antimicrobial Stewardship Program

Impact of Antimicrobial Stewardship Program Impact of Antimicrobial Stewardship Program Ripal Joshi, Pharm.D. AAHIVP Tampa General Hospital January 28, 2016 Objectives Provide an overview on antimicrobial stewardship programs (ASP) Describe the

More information

ONCE DAILY GENTAMICIN DOSING AND MONITORING IN ADULTS POLICY QUESTIONS AND ANSWERS

ONCE DAILY GENTAMICIN DOSING AND MONITORING IN ADULTS POLICY QUESTIONS AND ANSWERS ONCE DAILY GENTAMICIN DOSING AND MONITORING IN ADULTS POLICY QUESTIONS AND ANSWERS Contents 1. How to I calculate a gentamicin dose?... 2 2. How do I prescribe gentamicin on the cardex?... 2 3. Can I give

More information

Enhancing practitioner knowledge and adoption of infection prevention and control measures for both food and companion animal veterinarians

Enhancing practitioner knowledge and adoption of infection prevention and control measures for both food and companion animal veterinarians Enhancing practitioner knowledge and adoption of infection prevention and control measures for both food and companion animal veterinarians NAS Workshop Session 2 Part B June 20, 2017 H. Morgan Scott DVM,

More information

Standardization of Perioperative Antibiotic Prophylaxis through the Development of Procedure-specific Guidelines in the NICU

Standardization of Perioperative Antibiotic Prophylaxis through the Development of Procedure-specific Guidelines in the NICU Standardization of Perioperative Antibiotic Prophylaxis through the Development of Procedure-specific Guidelines in the NICU Setting: Ann and Robert H. Lurie Children s Hospital of Chicago in Chicago,

More information

Community-Acquired Pneumonia: Severity scoring and compliance to BTS guidelines. Julie Harris Antibiotic Pharmacist Hywel Dda Healthboard

Community-Acquired Pneumonia: Severity scoring and compliance to BTS guidelines. Julie Harris Antibiotic Pharmacist Hywel Dda Healthboard Community-Acquired Pneumonia: Severity scoring and compliance to BTS guidelines Julie Harris Antibiotic Pharmacist Hywel Dda Healthboard Plan Background BTS guidelines Differences in opinion Measures introduced

More information

Title: Record Keeping for Regulated Animals at Oklahoma State University

Title: Record Keeping for Regulated Animals at Oklahoma State University Title: Record Keeping for Regulated Animals at Oklahoma State University Policy No. IACUC-013 Effective Date: 2/09/15 1. Reference(s): USDA Animal and Plant Health Inspection Service (APHIS) Animal Care

More information

Antibiotic Stewardship: The Facility Role and Implementation. Tim Cozad, LPN, Lead LTC Health Facilities Surveyor

Antibiotic Stewardship: The Facility Role and Implementation. Tim Cozad, LPN, Lead LTC Health Facilities Surveyor Antibiotic Stewardship: The Facility Role and Implementation Tim Cozad, LPN, Lead LTC Health Facilities Surveyor Phase II CMS Regulatory Changes Current information available includes: New Survey Process

More information

Healthcare-associated Infections and Antimicrobial Use Prevalence Survey

Healthcare-associated Infections and Antimicrobial Use Prevalence Survey Healthcare-associated Infections and Antimicrobial Use Prevalence Survey Shamima Sharmin, M.B.B.S., MSc, MPH Emerging Infections Program New Mexico Department of Health Agenda Recognize healthcare-associated

More information

Good Health Records Setup Guide for DHI Plus Health Event Users

Good Health Records Setup Guide for DHI Plus Health Event Users Outcomes Driven Health Management Good Health Records Setup Guide for DHI Plus Health Event Users A guide to setting up recording practices for the major diseases of dairy cattle on the farm Dr. Sarah

More information

PENNVET BEHAVIOR APP Pet Owner Instructions

PENNVET BEHAVIOR APP Pet Owner Instructions PENNVET BEHAVIOR APP Pet Owner Instructions What is the PennVet App? Developed in partnership with Connect For Education, Inc. and the University of Pennsylvania School of Veterinary Medicine Center for

More information

CURRENT STEWARDSHIP AND EDUCATIONAL ACTIVITY IN RUSSIA FINDINGS FROM A SURVEY

CURRENT STEWARDSHIP AND EDUCATIONAL ACTIVITY IN RUSSIA FINDINGS FROM A SURVEY Second UK-Russia roundtable discussion «Antimicrobial resistance (AMR): actions, plans, implementation» CURRENT STEWARDSHIP AND EDUCATIONAL ACTIVITY IN RUSSIA FINDINGS FROM A SURVEY Ivan Palagin Institute

More information

Who should read this document 2. Key practice points 2. Background/ Scope/ Definitions 2. What is new in this version 3. Policy/Procedure/Guideline 3

Who should read this document 2. Key practice points 2. Background/ Scope/ Definitions 2. What is new in this version 3. Policy/Procedure/Guideline 3 Antibiotic Prophylaxis in Cranial Neurosurgery Antibiotic Classification: Clinical Guideline Lead Author: Antibiotic Steering Committee Additional author(s): as above Authors Division: DCSS & Tertiary

More information

Antimicrobial Stewardship Esperienza Torinese

Antimicrobial Stewardship Esperienza Torinese Pisa 15 Novembre 2016 Antimicrobial Stewardship Esperienza Torinese Francesco G. De Rosa Dipartimento di Scienze Mediche Università di Torino Antimicrobial Stewardship First introduced by Dale Gerding

More information

King Fahd University of Petroleum & Minerals College of Industrial Management

King Fahd University of Petroleum & Minerals College of Industrial Management King Fahd University of Petroleum & Minerals College of Industrial Management CIM COOP PROGRAM POLICIES AND DELIVERABLES The CIM Cooperative Program (COOP) period is an essential and critical part of your

More information

CHAPTER 9 ANTIMICROBIAL STEWARDSHIP PROGRAM (ASP)

CHAPTER 9 ANTIMICROBIAL STEWARDSHIP PROGRAM (ASP) DEPARTMENT OF THE ARMY HEADQUARTERS, UNITED STATES ARMY MEDICAL DEPARTMENT ACTIVITY FORT POLK, LOUISIANA 71459-5110 MEDDAC Regulation 29 August 2017 Number 500a-59 CHAPTER 9 ANTIMICROBIAL STEWARDSHIP PROGRAM

More information

GUIDELINES FOR THE MANAGEMENT OF COMMUNITY-ACQUIRED PNEUMONIA IN ADULTS

GUIDELINES FOR THE MANAGEMENT OF COMMUNITY-ACQUIRED PNEUMONIA IN ADULTS Version 3.1 GUIDELINES FOR THE MANAGEMENT OF COMMUNITY-ACQUIRED PNEUMONIA IN ADULTS Date ratified June 2008 Updated March 2009 Review date June 2010 Ratified by Authors Consultation Evidence base Changes

More information

Monthly Webinar. Tuesday 12th December 2017, 16:00 Brewing Up a Little Storm. Event number: Audio dial-in (phone):

Monthly Webinar. Tuesday 12th December 2017, 16:00 Brewing Up a Little Storm. Event number: Audio dial-in (phone): Monthly Webinar Tuesday 12th December 2017, 16:00 Brewing Up a Little Storm Event number: 849 291 546 Audio dial-in (phone): 01 526 0058 AMS InSight Monthly Webinar: Tuesday 12th December MicroB: Brewing

More information

Guide to Preparation of a Site Master File for Breeder/Supplier/Users under Scientific Animal Protection Legislation

Guide to Preparation of a Site Master File for Breeder/Supplier/Users under Scientific Animal Protection Legislation Guide to Preparation of a Site Master File for Breeder/Supplier/Users under Scientific Animal Protection AUT-G0099-5 21 DECEMBER 2016 This guide does not purport to be an interpretation of law and/or regulations

More information

What is an Antibiotic Stewardship Program?

What is an Antibiotic Stewardship Program? What is an Antibiotic Stewardship Program? Jane Rogers, R.N. Anne Messer, MPH Learning Session #4 August 15, 2017 National Nursing Home Quality Care Collaborative Change Package Change Bundle: To prevent

More information

Misericordia Community Hospital (MCH) Antimicrobial Stewardship Report. July December 2013 Second and Third Quarters 2014

Misericordia Community Hospital (MCH) Antimicrobial Stewardship Report. July December 2013 Second and Third Quarters 2014 H e a l i n g t h e B o d y E n r i c h i n g t h e M i n d N u r t u r i n g t h e S o u l Misericordia Community Hospital (MCH) Antimicrobial Stewardship Report July December 213 Second and Third Quarters

More information

TREAT Steward. Antimicrobial Stewardship software with personalized decision support

TREAT Steward. Antimicrobial Stewardship software with personalized decision support TREAT Steward TM Antimicrobial Stewardship software with personalized decision support ANTIMICROBIAL STEWARDSHIP - Interdisciplinary actions to improve patient care Quality Assurance The aim of antimicrobial

More information

Using Data to Track Antibiotic Use and Outcomes

Using Data to Track Antibiotic Use and Outcomes Using Data to Track Antibiotic Use and Outcomes Michelle Nemec, PharmD Thrifty White Drug Pharmacy Objectives Describe the Antibiotic Stewardship Core Element of tracking and the specific interventions

More information

Measurement of Antimicrobial Drug Use. Elizabeth Dodds Ashley, PharmD, MHS, FCCP, BCPS DASON Liaison Pharmacist

Measurement of Antimicrobial Drug Use. Elizabeth Dodds Ashley, PharmD, MHS, FCCP, BCPS DASON Liaison Pharmacist Measurement of Antimicrobial Drug Use Elizabeth Dodds Ashley, PharmD, MHS, FCCP, BCPS DASON Liaison Pharmacist Defined Daily Dose Target Audience: Administrators and Epidemiologists Standardized definition

More information

Public consultation on Proposed Revision of the Australian Code of Practice for the Care and Use of Animals for Scientific Purposes 2004

Public consultation on Proposed Revision of the Australian Code of Practice for the Care and Use of Animals for Scientific Purposes 2004 RESEARCH INTEGRITY Animal Ethics Committee Web: http://sydney.edu.au/research_support/ethics Project Officer Australian code of practice for the care and use of animals for scientific purposes Health and

More information

California Senate Bill 27 Livestock: Use of Antimicrobial Drugs (An Interesting Journey)

California Senate Bill 27 Livestock: Use of Antimicrobial Drugs (An Interesting Journey) California Senate Bill 27 Livestock: Use of Antimicrobial Drugs (An Interesting Journey) Annette Jones, DVM State Veterinarian and Director Animal Health and Food Safety Services California Department

More information

EUROPEAN COMMISSION DIRECTORATE-GENERAL FOR HEALTH AND FOOD SAFETY REFERENCES: MALTA, COUNTRY VISIT AMR. STOCKHOLM: ECDC; DG(SANTE)/

EUROPEAN COMMISSION DIRECTORATE-GENERAL FOR HEALTH AND FOOD SAFETY REFERENCES: MALTA, COUNTRY VISIT AMR. STOCKHOLM: ECDC; DG(SANTE)/ EUROPEAN COMMISSION DIRECTORATE-GENERAL FOR HEALTH AND FOOD SAFETY Health and food audits and analysis REFERENCES: ECDC, MALTA, COUNTRY VISIT AMR. STOCKHOLM: ECDC; 2017 DG(SANTE)/2017-6248 EXECUTIVE SUMMARY

More information

Health and Food Safety. EU Guidelines for the prudent use of antimicrobials in human health

Health and Food Safety. EU Guidelines for the prudent use of antimicrobials in human health Health and Food Safety EU Guidelines for the prudent use of antimicrobials in human health CONTENTS 1 2 3 4 INTRODUCTION...5 DEFINITIONS...6 SCOPE AND PURPOSE...8 GUIDELINES...9 4.1. 4.2. 4.3. 4.4. 4.5.

More information

V E T E R I N A R Y C O U N C I L O F I R E L A N D ETHICAL VETERINARY PRACTICE

V E T E R I N A R Y C O U N C I L O F I R E L A N D ETHICAL VETERINARY PRACTICE V E T E R I N A R Y C O U N C I L O F I R E L A N D ETHICAL VETERINARY PRACTICE ETHICAL VETERINARY PRACTICE The term Ethical Veterinary Practice is a wide ranging one, implying as it does, compliance with

More information

Treatment of Surgical Site Infection Meeting Quality Statement 6. Prof Peter Wilson University College London Hospitals

Treatment of Surgical Site Infection Meeting Quality Statement 6. Prof Peter Wilson University College London Hospitals Treatment of Surgical Site Infection Meeting Quality Statement 6 Prof Peter Wilson University College London Hospitals TEG Quality Standard 6 Treatment and effective antibiotic prescribing: People with

More information

Antimicrobial Stewardship in the Outpatient Setting. ELAINE LADD, PHARMD, ABAAHP, FAARFM OCTOBER 28th, 2016

Antimicrobial Stewardship in the Outpatient Setting. ELAINE LADD, PHARMD, ABAAHP, FAARFM OCTOBER 28th, 2016 Antimicrobial Stewardship in the Outpatient Setting ELAINE LADD, PHARMD, ABAAHP, FAARFM OCTOBER 28th, 2016 Abbreviations AMS - Antimicrobial Stewardship Program OP - Outpatient OPS - Outpatient Setting

More information