Antimicrobial stewardship: 6a-Documentation of reason for prescribing antibiotics
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Indicator 6a-Documentation of reason for prescribing antibiotics|
|Registration status:||Health, Standard 12/09/2016|
The proportion of prescriptions for which the reason for prescribing antibiotics is documented.
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:||Clinical care standard indicators: antimicrobial stewardship Health, Standard 12/09/2016|
|Outcome area:||Documentation Health, Standard 12/09/2016|
Collection and usage attributes
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.
(Numerator ÷ denominator) x 100
Number of prescriptions for which the reason for prescribing antibiotics is documented.
Number of prescriptions for antibiotics.
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:
|Unit of measure:||Service event|
Source and reference attributes
Australian Commission on Safety and Quality in Health Care
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.