Developing an Antimicrobial Stewardship surveillance system - supporting the 2016/17 AMR CQUIN
PHE ePoster Library. Hopkins S. Sep 13, 2016; 137969; 241
Susan Hopkins
Susan Hopkins
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Abstract
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Abstract IntroductionA survey conducted by PHE in 2014 highlighted that the majority of Trusts completed antimicrobial stewardship (AMS) related ward audits frequently (> 6 monthly). In March 2016 PHE developed an AMS surveillance tool and conducted a pilot to test the feasibility of centrally collecting details across England. MethodA web based tool was circulated to the national antimicrobial pharmacist network across 146 Acute NHS Trusts for pilot. This was a voluntary pilot audit completed by healthcare professionals; ethics approval was not required. Results 33 Acute NHS Trusts piloted the surveillance tool; 12 were teaching hospitals. All had collected patient level audit/quality improvement data relating to national AMS guidance in the previous year; these data were most commonly collected on a monthly (39%) or quarterly (27%) basis. A high proportion of wards were typically surveyed at least once over the past year (51-100%). Antibiotic courses were reviewed with formal documentation at 48-72 hours after initiation of therapy by 36% of Trusts. ConclusionFollowing publication of an AMR CQUIN (Commissioning for Quality and Innovation) by NHS England which includes empiric review of antibiotic prescriptions as one of the indicators and comments from respondents of the pilot, the AMS surveillance tool developed has been simplified to focus on the key elements required by both the national AMS toolkit: Start Smart then Focus and the AMR CQUIN. A sample data collection form (audit tool) was designed to accompany the surveillance tool and both circulated to Trusts to support their submission for the CQUIN.
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