The Champions League - Improving the quality of in-patient antibiotic prescription in Trauma and Orthopaedics.

2.50
Hdl Handle:
http://hdl.handle.net/11287/596961
Title:
The Champions League - Improving the quality of in-patient antibiotic prescription in Trauma and Orthopaedics.
Authors:
Evans, Jonathan T.; Saxby, Clair; Armstrong, Alexander
Abstract:
A Trust level audit demonstrated that the trauma and orthopaedic department did not reach its own standards in adhering to Trust antibiotic prescribing guidelines. Junior doctors are the main prescribers of antibiotics during inpatient stays. Local policy states that for all inpatients on antibiotics, the start date, duration, and indication for antibiotics must be documented on the drug card. Each patient drug card was reviewed by the department pharmacist and it was recorded whether the documentation was in line with Trust policy. A monthly league table, coined 'The Champions League', was created. It was published monthly and displayed in the doctors' office and other clinical areas to highlight which doctors had or had not adhered to the prescribing guidelines. In August 2012 the monthly audit for the trauma and orthopaedic department included 74 patients. The total number of antibiotic courses prescribed was 28; of these courses only 15 (53.5%) had an indication documented and 15 (53.5%) had a review/stop date documented. In December 2012, after two published league tables, 61 patients were reviewed. A total of 19 antibiotic courses were prescribed; 18 (94.7%) had the indication documented and 16 (84.2%) had the review/stop date documented. The standards of prescribing improved within the department and good prescribing practice became ingrained into each doctor's practice. The league table proved to be a novel tool that helped to raise the profile of antibiotic prescribing and change doctor prescribing habits. It created a competitive spirit within the department which improved morale. Doctors responded positively to feedback if they were not achieving the desirable standards, and enjoyed the challenge of improving the standard of prescribing.
Citation:
The Champions League - Improving the quality of in-patient antibiotic prescription in Trauma and Orthopaedics. 2014, 3 (1): BMJ Qual Improv Rep
Publisher:
BMJ
Journal:
BMJ quality improvement reports
Issue Date:
25-Mar-2014
URI:
http://hdl.handle.net/11287/596961
DOI:
10.1136/bmjquality.u201983.w1831
PubMed ID:
26734266
Additional Links:
http://dx.doi.org/10.1136/bmjquality.u201983.w1831
Note:
This article is freely available via Open Access. Click on the 'Additional Link' above to access the full-text from the publisher's website.
Type:
Journal Article
Language:
en
ISSN:
2050-1315
Appears in Collections:
General Trauma & Orthopaedics; 2014 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorEvans, Jonathan T.en
dc.contributor.authorSaxby, Clairen
dc.contributor.authorArmstrong, Alexanderen
dc.date.accessioned2016-02-23T11:57:45Zen
dc.date.available2016-02-23T11:57:45Zen
dc.date.issued2014-03-25en
dc.identifier.citationThe Champions League - Improving the quality of in-patient antibiotic prescription in Trauma and Orthopaedics. 2014, 3 (1): BMJ Qual Improv Repen
dc.identifier.issn2050-1315en
dc.identifier.pmid26734266en
dc.identifier.doi10.1136/bmjquality.u201983.w1831en
dc.identifier.urihttp://hdl.handle.net/11287/596961en
dc.description.abstractA Trust level audit demonstrated that the trauma and orthopaedic department did not reach its own standards in adhering to Trust antibiotic prescribing guidelines. Junior doctors are the main prescribers of antibiotics during inpatient stays. Local policy states that for all inpatients on antibiotics, the start date, duration, and indication for antibiotics must be documented on the drug card. Each patient drug card was reviewed by the department pharmacist and it was recorded whether the documentation was in line with Trust policy. A monthly league table, coined 'The Champions League', was created. It was published monthly and displayed in the doctors' office and other clinical areas to highlight which doctors had or had not adhered to the prescribing guidelines. In August 2012 the monthly audit for the trauma and orthopaedic department included 74 patients. The total number of antibiotic courses prescribed was 28; of these courses only 15 (53.5%) had an indication documented and 15 (53.5%) had a review/stop date documented. In December 2012, after two published league tables, 61 patients were reviewed. A total of 19 antibiotic courses were prescribed; 18 (94.7%) had the indication documented and 16 (84.2%) had the review/stop date documented. The standards of prescribing improved within the department and good prescribing practice became ingrained into each doctor's practice. The league table proved to be a novel tool that helped to raise the profile of antibiotic prescribing and change doctor prescribing habits. It created a competitive spirit within the department which improved morale. Doctors responded positively to feedback if they were not achieving the desirable standards, and enjoyed the challenge of improving the standard of prescribing.en
dc.language.isoenen
dc.publisherBMJen
dc.relation.urlhttp://dx.doi.org/10.1136/bmjquality.u201983.w1831en
dc.rightsArchived with thanks to BMJ quality improvement reports. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/http://creativecommons.org/licenses/by-nc/2.0/legalcodeen
dc.subjectWessex Classification Subject Headings::Orthopaedicsen
dc.titleThe Champions League - Improving the quality of in-patient antibiotic prescription in Trauma and Orthopaedics.en
dc.typeJournal Articleen
dc.identifier.journalBMJ quality improvement reportsen
dc.description.noteThis article is freely available via Open Access. Click on the 'Additional Link' above to access the full-text from the publisher's website.en
dc.type.versionPublisheden

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