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Increasing the documentation of 48-hour antimicrobial reviews
Antimicrobial resistance is a growing problem worldwide. Encouraging antimicrobial stewardship can help to reduce the negative consequences of inappropriate antibiotic use. This quality improvement project targets to do this by aiming to improve the proportion of 48-hour antimicrobial reviews comple...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011884/ https://www.ncbi.nlm.nih.gov/pubmed/32034009 http://dx.doi.org/10.1136/bmjoq-2019-000805 |
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author | Sahota, Ramandeep Singh Rajan, Kiran Kasper Comont, Jonathan Mark Sabine Lee, Hyungeun Hans Johnston, Nikolina James, Mary Patel, Rakhee Nariculam, Joseph |
author_facet | Sahota, Ramandeep Singh Rajan, Kiran Kasper Comont, Jonathan Mark Sabine Lee, Hyungeun Hans Johnston, Nikolina James, Mary Patel, Rakhee Nariculam, Joseph |
author_sort | Sahota, Ramandeep Singh |
collection | PubMed |
description | Antimicrobial resistance is a growing problem worldwide. Encouraging antimicrobial stewardship can help to reduce the negative consequences of inappropriate antibiotic use. This quality improvement project targets to do this by aiming to improve the proportion of 48-hour antimicrobial reviews completed and documented on two surgical wards at Darent Valley Hospital with a goal of 100% compliance. This project used four PDSA (plan, do, study, act) cycles to achieve our aim: a trust-wide email; education sessions with junior doctors; sticker reminders in patient notes; presenting our study to surgical consultants and displaying posters on the wards. The proportion of antimicrobial reviews completed at 48 hours in the patient notes increased from 18% to 77% over 19 weeks from 10 October 2018 to 20 February 2019. The most successful intervention was providing a presentation for consultants at an audit meeting in conjunction with displaying posters on the wards. The most successful interventions (education sessions with junior doctors and presentation to surgical consultants alongside displaying posters on the wards) were found to be those that required minimal further input after their initial rollout. This project was carried out by medical students and is highly transferrable to other hospitals, and highlighted that a successful quality improvement project can be undertaken by any member of the healthcare team. |
format | Online Article Text |
id | pubmed-7011884 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-70118842020-02-25 Increasing the documentation of 48-hour antimicrobial reviews Sahota, Ramandeep Singh Rajan, Kiran Kasper Comont, Jonathan Mark Sabine Lee, Hyungeun Hans Johnston, Nikolina James, Mary Patel, Rakhee Nariculam, Joseph BMJ Open Qual Quality Improvement Report Antimicrobial resistance is a growing problem worldwide. Encouraging antimicrobial stewardship can help to reduce the negative consequences of inappropriate antibiotic use. This quality improvement project targets to do this by aiming to improve the proportion of 48-hour antimicrobial reviews completed and documented on two surgical wards at Darent Valley Hospital with a goal of 100% compliance. This project used four PDSA (plan, do, study, act) cycles to achieve our aim: a trust-wide email; education sessions with junior doctors; sticker reminders in patient notes; presenting our study to surgical consultants and displaying posters on the wards. The proportion of antimicrobial reviews completed at 48 hours in the patient notes increased from 18% to 77% over 19 weeks from 10 October 2018 to 20 February 2019. The most successful intervention was providing a presentation for consultants at an audit meeting in conjunction with displaying posters on the wards. The most successful interventions (education sessions with junior doctors and presentation to surgical consultants alongside displaying posters on the wards) were found to be those that required minimal further input after their initial rollout. This project was carried out by medical students and is highly transferrable to other hospitals, and highlighted that a successful quality improvement project can be undertaken by any member of the healthcare team. BMJ Publishing Group 2020-02-06 /pmc/articles/PMC7011884/ /pubmed/32034009 http://dx.doi.org/10.1136/bmjoq-2019-000805 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Quality Improvement Report Sahota, Ramandeep Singh Rajan, Kiran Kasper Comont, Jonathan Mark Sabine Lee, Hyungeun Hans Johnston, Nikolina James, Mary Patel, Rakhee Nariculam, Joseph Increasing the documentation of 48-hour antimicrobial reviews |
title | Increasing the documentation of 48-hour antimicrobial reviews |
title_full | Increasing the documentation of 48-hour antimicrobial reviews |
title_fullStr | Increasing the documentation of 48-hour antimicrobial reviews |
title_full_unstemmed | Increasing the documentation of 48-hour antimicrobial reviews |
title_short | Increasing the documentation of 48-hour antimicrobial reviews |
title_sort | increasing the documentation of 48-hour antimicrobial reviews |
topic | Quality Improvement Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011884/ https://www.ncbi.nlm.nih.gov/pubmed/32034009 http://dx.doi.org/10.1136/bmjoq-2019-000805 |
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