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Antimicrobial stewardship: 6a-Documentation of reason for prescribing antibiotics

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 6a-Documentation of reason for prescribing antibiotics
METeOR identifier:Help on this term612224
Registration status:Help on this termHealth, Standard 12/09/2016
Description:Help on this term

The proportion of prescriptions for which the reason for prescribing antibiotics is documented.

Rationale:Help on this term

Documentation aims to improve communication between health professionals who are caring for a patient. It also ensures that antibiotic treatment is optimised (ACSQHC 2012; Duguid & Cruickshank 2011).

Indicator set:Help on this termClinical care standard indicators: antimicrobial stewardship Health, Standard 12/09/2016
Outcome area:Help on this termDocumentation Health, Standard 12/09/2016

Collection and usage attributes

Computation description:Help on this term

For the numerator, 'documented' means the indication or reason for prescribing each antibiotic is written in the patient's medical record. To be counted towards the numerator, the documented indication should also be clear, and specific enough for decision making and intervention if necessary. For example, indications such as 'infection' or even 'chest infection' are unlikely to assist in ensuring antimicrobial treatment is optimised, and thus should not be counted as meeting the requirement for the numerator.

Presented as a percentage.

Computation:Help on this term

(Numerator ÷ denominator) x 100

Numerator:Help on this term

Number of prescriptions for which the reason for prescribing antibiotics is documented.

Denominator:Help on this term

Number of prescriptions for antibiotics.

Comments:Help on this term

This indicator is based on a modification of Indicator 21: Reason for prescribing recorded, as contained in Indicators of quality prescribing in Australian general practice (National Prescribing Service 2006).

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:

  • The National Antimicrobial Prescribing Survey (NAPS)–conducted by the Centre of Research Excellence–National Centre for Antimicrobial Stewardship (NCAS), using a point prevalence survey.
  • ‚ÄčAudits of GP prescribing administered by the National Prescribing Service (NPS) MedicineWise. These include, but are not confined to, antimicrobial prescribing.

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termService event
Format:Help on this term

N[NN]

Source and reference attributes

Submitting organisation:Help on this term

Australian Commission on Safety and Quality in Health Care

Reference documents:Help on this term

ACSQHC (Australian Commission on Safety and Quality in Health Care) 2012. Safety and Quality Improvement Guide, Standard 6: Clinical Handover. Sydney: ACSQHC.

Antibiotic Expert Group 2014. Therapeutic guidelines: antibiotic. Version 15. Melbourne: Therapeutic Guidelines Limited.

Duguid M & Cruickshank M (eds) 2011. Antimicrobial stewardship in Australian hospitals. Sydney: Australian Commission on Safety and Quality in Health Care.

National Prescribing Service 2006. Indicators of quality prescribing in Australian general practice. Sydney: NPS.

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