antibiotic point prevalence audit results june 2015 report by: … · 2016-02-18 · report by:...
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Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
Introduction
These data forms part of a series of antibiotic point prevalence audits carried out on a monthly basis starting January 2014. All antibiotic prescriptions
prescribed for acute infections are reviewed by specialist pharmacists on a designated date each month to determine the appropriateness of agents
prescribed for the management of infections in the Trust.
In particular, the pharmacists will assess the agents prescribed, their route of administration and determine if the choice is in accordance with the Trust
Antibiotic Formulary. Evidence of indication, duration and allergies documented on the prescription are also ascertained in line with the Department of
Health’s Start Smart then Focus recommendations.
Audit standards
All prescriptions for antibiotics:
Have an indication documented on the drug chart/EPMA record
Have a treatment duration or review date documented on the drug chart/EPMA record
Are in accordance with the antibiotic formulary, or otherwise advised by culture & sensitivity results or an infection specialist (e.g. Medical Microbiologist or Infectious Diseases Physician).
Antibiotic choice was assessed by its accordance with the antibiotic formulary or on the advice of an Infection Specialist within the Trust.
All results are rated as red, amber or green according to figure 1. The appearance of the graphs will be slightly different to those in previous reports.
Result
>95% Green
90-94.9% Amber
<90% Red Figure 1. RAG rating of audit results
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
Trust 818 298
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
CCSS 31 20
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
Medicine 468 163
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
Surgery 319 115
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
1 BGH 28 2
No antibiotics prescribed at the time of May audit.
2 prescriptions where an indication was not documented, so unable to ascertain if appropriate choice of agent.
2 prescriptions without a treatment duration or review date specified.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
10Z 8 4
Fully compliant for documentation of indication and antibiotic choice.
1 prescription without a treatment duration or review date specified.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
2 BGH 13 2
2 prescriptions where an indication was not documented, so unable to ascertain if appropriate choice of agent.
Fully compliant for documentation of duration or review date.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
2A 24 7
2 prescriptions where an indication was not documented, so unable to ascertain if appropriate choice of agent.
Fully compliant for specifying treatment duration or review dates.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
2B 23 7
2 prescriptions where indications were not documented, so unable to ascertain if appropriate choice of agent.
Fully compliant for documentation of duration/review date.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
2X 22 9
Fully compliant for documentation of indications and durations/review dates.
Co-amoxiclav prescribed for cellulitis – not in accordance with Trust antibiotic formulary.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
2Y 8 0
No antibiotics prescribed at the time of April & June’s audits.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
3A 31 6
Fully compliant for documentation of indication and antimicrobial choice.
Ciprofloxacin prescribed for UTI – not in accordance with Trust antimicrobial formulary and MSU reported as no bacterial growth.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
3X 13 17
Fully compliant for documentation of indication and antibiotic choice.
1 prescription without duration/stop date documented.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
3Y 19 17
3 prescriptions without an indication documented, however evidence of input from Infection specialist noted.
1 prescription without a treatment duration or review date specified.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
4BGH 12 1
No antibiotics prescribed at the time of May audit.
Fully compliant for documentation of indication and antibiotic choice.
1 prescription without a treatment duration or review date specified.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
4A 25 13
3 prescriptions without indication documented therefore unable to ascertain appropriateness of agents chosen.
6 prescriptions without treatment duration/review date documented.
Cefuroxime prescribed for 3 patients as post-operative prophylaxis following spinal surgery for durations between 3 and 12 days – not in
accordance with Trust antimicrobial guidelines.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
4B 22 5
1 prescription without indication documented therefore unable to ascertain appropriateness of agents chosen.
Fully compliant for documentation of duration or review date.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
4X 9 3
Fully compliant for documentation of indication and antibiotic choice.
1 prescription without documented duration or review date.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
5 BGH 15 1
1 prescription without indication documented, therefore unable to assess appropriateness of agent chosen.
Fully compliant for documentation of duration/review date.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
5A 25 11
2 prescriptions without indication documented therefore unable to ascertain appropriateness of agent chosen.
2 prescriptions without documented stop or review dates.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
5B 27 6
Fully compliant for documentation of indication and antibiotic choice.
2 prescriptions without documented duration or review date.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
5X 24 12
1 prescription without indication documented therefore unable to ascertain appropriateness of agent chosen.
Fully compliant for documentation of duration or review date.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
5Y 19 4
Fully compliant in all areas of antibiotic prescribing.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
6A 23 7
1 prescription without indication documented, however evidence of input from Infection Specialist noted.
1 prescription without documented stop or review date.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
6X 28 18
Fully compliant for documentation of indication and antibiotic choice.
4 prescriptions without durations or review dates.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
6Y 25 9
Fully compliant for documentation of indication and antibiotic choice.
1 prescription without treatment duration/review date documented.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
7A 25 19
1 prescription where indication was not documented therefore unable to assess appropriateness of agent chosen.
5 prescriptions without durations or review dates.
2 prescriptions started in another Trust, therefore excluded from assessment of appropriateness.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
7B 25 6
3 prescriptions where indication was not documented, therefore unable to ascertain appropriateness of agent chosen.
1 prescription without a documented duration or review date.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
7X 4 2
2 antibiotics without indication documented therefore unable to ascertain appropriateness of agent chosen.
Fully compliant for documentation of duration/review date.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
7Y 19 14
Fully compliant for documentation of indication and antibiotic choice.
1 prescription without documented treatment duration/review date.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
8 BGH 20 2
Fully compliant for all areas of antibiotic prescribing.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
8A 15 10
3 prescriptions without indication documented, but evidence of Infection Specialist input noted.
3 prescriptions without duration or review date.
2 prescriptions commenced in another Trust therefore excluded from assessment of appropriateness.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
8HDU 10 9
Fully compliant for documentation of indication and antibiotic choice.
2 prescriptions without treatment duration/review date documented.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
8X 23 7
1 prescription without indication documented therefore unable to ascertain appropriateness of agent chosen.
4 prescriptions without treatment duration/review date documented
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
8Y 24 9
1 prescription without indication documented therefore unable to ascertain appropriateness of agent chosen.
3 prescriptions without duration/review date documented.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
9A 13 3
No antibiotics prescribed at the time of April & May’s audit.
Fully compliant in all areas of antibiotic prescribing.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
9 HDU 5 2
Fully compliant in all areas of antibiotic prescribing.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
9B 27 11
2 prescriptions without indication documented therefore unable to ascertain appropriateness of agent chosen.
4 prescriptions without duration/review date documented.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
9X 23 4
Fully compliant for documentation of indication and antimicrobial choice.
1 prescription without specified treatment duration or review date.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
9Y 15 0
No antibiotics prescribed at the time of June’s audit.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
ACRU 12 5
Fully compliant in all areas of antibiotic prescribing.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
AMU 36 7
Fully compliant in all areas of antibiotic prescribing.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
ASU 20 6
Fully compliant in all areas of antibiotic prescribing.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
CCU 4 1
Fully compliant in all areas of antibiotic prescribing.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
ESAU 14 5
Fully compliant in all areas of antibiotic prescribing.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
HEC 14 5
Fully compliant in all areas of antibiotic prescribing.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
ITU 17 15
4 prescriptions without indication documented, but evidence of microbiology input noted.
1 prescription without duration/review date documented.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
NOFU 8 6
2 prescriptions without indication documented, but evidence of microbiology input noted.
Fully compliant for duration and antibiotic choice.
Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist
June 2015 Number of patients reviewed Number of antibiotics prescribed
POCCU 4 2
Fully compliant in all areas of antibiotic prescribing.