Antimicrobial stewardship: 4b-Antibiotic-allergy mismatch in prescribing
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Indicator 4b-Antibiotic-allergy mismatch in prescribing|
|Registration status:||Health, Standard 12/09/2016|
The proportion of antibiotic prescriptions that have been classified as causing hypersensitivity for patients.
Preventing adverse outcomes from known allergies and adverse drug reactions to antibiotics can avoid significant harm to patients and reduce potentially avoidable hospitalisation (Antibiotic Expert Group 2014).
|Indicator set:||Clinical care standard indicators: antimicrobial stewardship Health, Standard 12/09/2016|
|Outcome area:||Use of guidelines and clinical condition Health, Standard 12/09/2016|
Collection and usage attributes
A patient being prescribed an antibiotic that belongs to a therapeutic class that has been documented in the patient's medication chart or medical notes as causing ‘hypersensitivity’ is known as an 'allergy mismatch'.
For the numerator, the following may be documented in the patient's medication chart or medical notes:
For the numerator, recommendations regarding penicillin hypersensitivity should align with those in Therapeutic guidelines: antibiotic.
Presented as a percentage.
(Numerator ÷ denominator) x 100
Number of prescriptions whereby the prescribed antibiotic belongs to a therapeutic class that has been documented in a patient's medication chart or medical notes as causing ‘hypersensitivity’.
Number of prescriptions for antibiotics.
There are a number of existing audit tools where samples of medication charts are assessed for appropriateness and compliance of antimicrobial prescribing against the Therapeutic guidelines: antibiotic (Antibiotic Expert Group 2014). These include:
|Unit of measure:||Service event|
Source and reference attributes
Australian Commission on Safety and Quality in Health Care
Antibiotic Expert Group 2014. Therapeutic guidelines: antibiotic. Version 15. Melbourne: Therapeutic Guidelines Limited.