Paediatric antimicrobial stewardship and safe prescribing: An assessment of medical staff knowledge and behaviour

Objective: Determine baseline knowledge of antimicrobial stewardship, and safe prescribing among junior medical officers, monitor their level of participation in interactive education during protected teaching time and assess day-to-day prescribing behaviours over the subsequent 3-month period. Meth...

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Main Authors: Mostaghim, M., Snelling, Thomas, Katf, H., Bajorek, B.
Format: Journal Article
Published: Centro de Investigaciones y Publicaciones Farmaceuticas 2018
Online Access:http://hdl.handle.net/20.500.11937/69750
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author Mostaghim, M.
Snelling, Thomas
Katf, H.
Bajorek, B.
author_facet Mostaghim, M.
Snelling, Thomas
Katf, H.
Bajorek, B.
author_sort Mostaghim, M.
building Curtin Institutional Repository
collection Online Access
description Objective: Determine baseline knowledge of antimicrobial stewardship, and safe prescribing among junior medical officers, monitor their level of participation in interactive education during protected teaching time and assess day-to-day prescribing behaviours over the subsequent 3-month period. Methods: A voluntary and anonymous survey of all non-consultant level medical officers was conducted with the use of an audience response system during mandatory face-to-face orientation sessions at a tertiary paediatric hospital. Routine prescribing audits monitored compliance with national and locally derived quality use of medicines indicators. Results: Eighty-six percent of medical officers participated by responding to at least one question (171/200). Response rate for individual questions ranged between 31% and 78%. Questions that addressed adverse drug reactions, documentation and monitoring for empiric antibiotics and the error-prone abbreviations IU and U were correctly answered by over 90% of participants. Other nonstandard and error-prone abbreviations were less consistently identified. In practice, 68% of patients had complete adverse drug reaction documentation (113/166). Error-prone abbreviations were identified on 5% of audited medication orders (47/976), approximately half included a documented indication and intended dose. Conclusions: Participants demonstrated a good understanding of safe prescribing and antimicrobial stewardship. Audits of prescribing identified potential discrepancies between prescribing knowledge and behaviours.
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spelling curtin-20.500.11937-697502018-09-27T05:54:59Z Paediatric antimicrobial stewardship and safe prescribing: An assessment of medical staff knowledge and behaviour Mostaghim, M. Snelling, Thomas Katf, H. Bajorek, B. Objective: Determine baseline knowledge of antimicrobial stewardship, and safe prescribing among junior medical officers, monitor their level of participation in interactive education during protected teaching time and assess day-to-day prescribing behaviours over the subsequent 3-month period. Methods: A voluntary and anonymous survey of all non-consultant level medical officers was conducted with the use of an audience response system during mandatory face-to-face orientation sessions at a tertiary paediatric hospital. Routine prescribing audits monitored compliance with national and locally derived quality use of medicines indicators. Results: Eighty-six percent of medical officers participated by responding to at least one question (171/200). Response rate for individual questions ranged between 31% and 78%. Questions that addressed adverse drug reactions, documentation and monitoring for empiric antibiotics and the error-prone abbreviations IU and U were correctly answered by over 90% of participants. Other nonstandard and error-prone abbreviations were less consistently identified. In practice, 68% of patients had complete adverse drug reaction documentation (113/166). Error-prone abbreviations were identified on 5% of audited medication orders (47/976), approximately half included a documented indication and intended dose. Conclusions: Participants demonstrated a good understanding of safe prescribing and antimicrobial stewardship. Audits of prescribing identified potential discrepancies between prescribing knowledge and behaviours. 2018 Journal Article http://hdl.handle.net/20.500.11937/69750 10.18549/PharmPract.2018.02.1198 http://creativecommons.org/licenses/by-nc-nd/4.0/ Centro de Investigaciones y Publicaciones Farmaceuticas fulltext
spellingShingle Mostaghim, M.
Snelling, Thomas
Katf, H.
Bajorek, B.
Paediatric antimicrobial stewardship and safe prescribing: An assessment of medical staff knowledge and behaviour
title Paediatric antimicrobial stewardship and safe prescribing: An assessment of medical staff knowledge and behaviour
title_full Paediatric antimicrobial stewardship and safe prescribing: An assessment of medical staff knowledge and behaviour
title_fullStr Paediatric antimicrobial stewardship and safe prescribing: An assessment of medical staff knowledge and behaviour
title_full_unstemmed Paediatric antimicrobial stewardship and safe prescribing: An assessment of medical staff knowledge and behaviour
title_short Paediatric antimicrobial stewardship and safe prescribing: An assessment of medical staff knowledge and behaviour
title_sort paediatric antimicrobial stewardship and safe prescribing: an assessment of medical staff knowledge and behaviour
url http://hdl.handle.net/20.500.11937/69750