Clinical care standard indicators: antimicrobial stewardship 2020
Identifying and definitional attributes | |
Metadata item type:![]() | Indicator Set |
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Indicator set type:![]() | Other |
METeOR identifier:![]() | 736878 |
Registration status:![]() | Australian Commission on Safety and Quality in Health Care, Standard 24/12/2020 |
Description:![]() | The Australian Commission on Safety and Quality in Health Care has produced the Antimicrobial Stewardship (AMS) Clinical Care Standard indicators to assist with local implementation of the AMS Clinical Care Standard. The AMS Clinical Care Standard provides guidance to clinicians and health service managers on delivering appropriate care when prescribing antimicrobials. It was first published in 2014 and was updated in 2020 following a review of current evidence and consultation with clinical experts and key organisations. The goals of the AMS Clinical Care Standard are to ensure:
The quality statements that are included in the AMS Clinical Care Standard are as follows:
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Relational attributes | |
Related metadata references:![]() | Supersedes Clinical care standard indicators: antimicrobial stewardship Health, Standard 12/09/2016 |
Indicators linked to this Indicator set:![]() | Antimicrobial stewardship: 2a-The proportion of antimicrobial prescriptions that are in accordance with the current Therapeutic Guidelines or evidence-based, locally endorsed guidelines Australian Commission on Safety and Quality in Health Care, Standard 24/12/2020 Antimicrobial stewardship: 2b-The proportion of prescriptions for restricted antimicrobials that are in accordance with the locally endorsed approval policy Australian Commission on Safety and Quality in Health Care, Standard 24/12/2020 Antimicrobial stewardship: 3a-The proportion of patients with an adverse reaction to an antimicrobial with comprehensive documentation of the reaction in their healthcare record Australian Commission on Safety and Quality in Health Care, Standard 24/12/2020 Antimicrobial stewardship: 6a-The proportion of prescriptions for which the indication for prescribing the antimicrobial is documented Australian Commission on Safety and Quality in Health Care, Standard 24/12/2020 Antimicrobial stewardship: 6b-The proportion of prescriptions for which the duration, stop date or review date for the antimicrobial is documented Australian Commission on Safety and Quality in Health Care, Standard 24/12/2020 Antimicrobial stewardship: 7a-The proportion of prescriptions for which an antimicrobial review and updated treatment decision is documented within 48 hours from the first prescription Australian Commission on Safety and Quality in Health Care, Standard 24/12/2020 Antimicrobial stewardship: 8a-The proportion of patients for whom the perioperative prophylactic antimicrobial is prescribed in accordance with the current Therapeutic Guidelines or evidence-based, locally endorsed guidelines Australian Commission on Safety and Quality in Health Care, Standard 24/12/2020 Antimicrobial stewardship: 8b-The proportion of patients for whom the perioperative prophylactic antimicrobial dose is prescribed in accordance with the current Therapeutic Guidelines or evidence-based, locally endorsed guidelines Australian Commission on Safety and Quality in Health Care, Standard 24/12/2020 Antimicrobial stewardship: 8c-The proportion of patients who are administered prophylactic antimicrobials within the recommended time perioperatively Australian Commission on Safety and Quality in Health Care, Standard 24/12/2020 Antimicrobial stewardship: 8d-The proportion of patients who were prescribed prolonged antimicrobials following a surgery or procedure that is discordant with the current Therapeutic Guidelines or evidence-based, locally endorsed guidelines Australian Commission on Safety and Quality in Health Care, Standard 24/12/2020 |
Collection and usage attributes | |
National reporting arrangement:![]() | This indicator specification has been developed to assist with the local implementation of the AMS Clinical Care Standard (ACSQHC 2020). There are no benchmarks set for any of the indicators in this specification. For all indicators, health service providers using the indicators can monitor their own results over time or compare them with those from other providers, with whom they have made such arrangements. Implementing the AMS Clinical Care Standard is a requirement for all health service organisations assessed against the National Safety and Quality Health Service Standards. Under the Preventing and Controlling Healthcare-Associated Infection Standard, health service organisations are expected to implement systems for the safe and appropriate prescribing and use of antimicrobials as part of an AMS program. Specifically, health service organisations are expected to have an AMS program that incorporates core elements, recommendations and principles from the current AMS Clinical Care Standard (Action 3.15d), and review antimicrobial prescribing and use (Action 3.16a). |
Comments:![]() | 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. These include:
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Source and reference attributes | |
Submitting organisation:![]() | Australian Commission on Safety and Quality in Health Care |
Reference documents:![]() | Australian Commission on Safety and Quality in Health Care. Antimicrobial Stewardship Clinical Care Standard. Sydney: ACSQHC; 2020. |
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