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Evaluating the Implementation of a Pilot Quality Improvement Program to Support Appropriate Antimicrobial Prescribing in General Practice

Inappropriate antimicrobial prescribing contributes to increasing antimicrobial resistance. An antimicrobial stewardship (AMS) program in the form of quality improvement activities that included audit and feedback, clinical decision support and education was developed to help optimise prescribing in...

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Autores principales: Biezen, Ruby, Buising, Kirsty, Monaghan, Tim, Ball, Rachael, Thursky, Karin, Cheah, Ron, Clark, Malcolm, Manski-Nankervis, Jo-Anne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8300821/
https://www.ncbi.nlm.nih.gov/pubmed/34356788
http://dx.doi.org/10.3390/antibiotics10070867
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author Biezen, Ruby
Buising, Kirsty
Monaghan, Tim
Ball, Rachael
Thursky, Karin
Cheah, Ron
Clark, Malcolm
Manski-Nankervis, Jo-Anne
author_facet Biezen, Ruby
Buising, Kirsty
Monaghan, Tim
Ball, Rachael
Thursky, Karin
Cheah, Ron
Clark, Malcolm
Manski-Nankervis, Jo-Anne
author_sort Biezen, Ruby
collection PubMed
description Inappropriate antimicrobial prescribing contributes to increasing antimicrobial resistance. An antimicrobial stewardship (AMS) program in the form of quality improvement activities that included audit and feedback, clinical decision support and education was developed to help optimise prescribing in general practice. The aim of this study was to evaluate the implementation of this program (Guidance GP) in three general practices in Melbourne, Australia, between November 2019 and August 2020. Thirty-one general practitioners (GPs) participated in the program, with 11 GPs and three practice managers participating in follow-up focus groups and interviews to explore the acceptability and feasibility of the program. Our findings showed that the quality improvement activities were acceptable to GPs, if they accurately fit GPs’ decision-making process and workflow. It was also important that they provided clinically meaningful information in the form of audit and feedback to GPs. The time needed to coordinate the program, and costs to implement the program were some of the potential barriers identified. Facilitators of success were a “whole of practice” approach with enthusiastic GPs and practice staff, and an identified practice champion. The findings of this research will inform implementation strategies for both the Guidance GP program and AMS programs more broadly in Australian general practice, which will be critical for general practice participation and engagement.
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spelling pubmed-83008212021-07-24 Evaluating the Implementation of a Pilot Quality Improvement Program to Support Appropriate Antimicrobial Prescribing in General Practice Biezen, Ruby Buising, Kirsty Monaghan, Tim Ball, Rachael Thursky, Karin Cheah, Ron Clark, Malcolm Manski-Nankervis, Jo-Anne Antibiotics (Basel) Article Inappropriate antimicrobial prescribing contributes to increasing antimicrobial resistance. An antimicrobial stewardship (AMS) program in the form of quality improvement activities that included audit and feedback, clinical decision support and education was developed to help optimise prescribing in general practice. The aim of this study was to evaluate the implementation of this program (Guidance GP) in three general practices in Melbourne, Australia, between November 2019 and August 2020. Thirty-one general practitioners (GPs) participated in the program, with 11 GPs and three practice managers participating in follow-up focus groups and interviews to explore the acceptability and feasibility of the program. Our findings showed that the quality improvement activities were acceptable to GPs, if they accurately fit GPs’ decision-making process and workflow. It was also important that they provided clinically meaningful information in the form of audit and feedback to GPs. The time needed to coordinate the program, and costs to implement the program were some of the potential barriers identified. Facilitators of success were a “whole of practice” approach with enthusiastic GPs and practice staff, and an identified practice champion. The findings of this research will inform implementation strategies for both the Guidance GP program and AMS programs more broadly in Australian general practice, which will be critical for general practice participation and engagement. MDPI 2021-07-16 /pmc/articles/PMC8300821/ /pubmed/34356788 http://dx.doi.org/10.3390/antibiotics10070867 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Biezen, Ruby
Buising, Kirsty
Monaghan, Tim
Ball, Rachael
Thursky, Karin
Cheah, Ron
Clark, Malcolm
Manski-Nankervis, Jo-Anne
Evaluating the Implementation of a Pilot Quality Improvement Program to Support Appropriate Antimicrobial Prescribing in General Practice
title Evaluating the Implementation of a Pilot Quality Improvement Program to Support Appropriate Antimicrobial Prescribing in General Practice
title_full Evaluating the Implementation of a Pilot Quality Improvement Program to Support Appropriate Antimicrobial Prescribing in General Practice
title_fullStr Evaluating the Implementation of a Pilot Quality Improvement Program to Support Appropriate Antimicrobial Prescribing in General Practice
title_full_unstemmed Evaluating the Implementation of a Pilot Quality Improvement Program to Support Appropriate Antimicrobial Prescribing in General Practice
title_short Evaluating the Implementation of a Pilot Quality Improvement Program to Support Appropriate Antimicrobial Prescribing in General Practice
title_sort evaluating the implementation of a pilot quality improvement program to support appropriate antimicrobial prescribing in general practice
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8300821/
https://www.ncbi.nlm.nih.gov/pubmed/34356788
http://dx.doi.org/10.3390/antibiotics10070867
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