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Antimicrobial stewardship: 6a-The proportion of prescriptions for which the indication for prescribing the antimicrobial is documented

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this term6a-The proportion of prescriptions for which the indication for prescribing the antimicrobial is documented
METeOR identifier:Help on this term736888
Registration status:Help on this termAustralian Commission on Safety and Quality in Health Care, Standard 24/12/2020
Description:Help on this term

The proportion of prescriptions for which the indication for prescribing the antimicrobial is documented.

Indicator set:Help on this termClinical care standard indicators: antimicrobial stewardship 2020 Australian Commission on Safety and Quality in Health Care, Standard 24/12/2020

Collection and usage attributes

Computation description:Help on this term

For the numerator and denominator, there may be one or more prescriptions for any one patient during an episode of care. All prescriptions meeting the criteria for the numerator or the denominator should be counted.

For the numerator, 'documented' means the prescriber has recorded the indication or reason for prescribing the antimicrobial in the patient's healthcare record. To be counted towards the numerator, the documented indication should be clear and specific enough for decision making and intervention if necessary. For example, use terminology consistent with Therapeutic Guidelines or locally endorsed guidelines such as ‘community-acquired pneumonia’. Documenting indications such as ‘infection’ or even ‘chest infection’ are unlikely to assist in ensuring antimicrobial treatment is optimised, and should not be counted as meeting the requirement for the numerator.

Presented as a percentage.

Computation:Help on this term

(Numerator ÷ Denominator) x 100‚Äč

Numerator:Help on this term

Number of prescriptions for which the indication for prescribing the antimicrobial is documented.

Denominator:Help on this term

Number of prescriptions for antimicrobials.

Comments:Help on this term

See the Antimicrobial Stewardship Clinical Care Standard (ACSQHC 2020) for key considerations to optimise the use of antimicrobials.

See Antimicrobial Stewardship in Australian Health Care (ACSQHC 2018) for further information on antimicrobial stewardship prescribing principles.

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]

Accountability attributes

Other issues caveats:Help on this term

Applicable settings:

All hospital settings, including public and private hospitals, subacute facilities, outpatient and day procedure services

General practice and other community and primary healthcare settings such as Hospital in the Home, Aboriginal community controlled health services, dental practices and community pharmacies

Residential aged care services.

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

Australian Commission on Safety and Quality in Health Care. Antimicrobial Stewardship Clinical Care Standard. Sydney: ACSQHC; 2020.

Australian Commission on Safety and Quality in Health Care. Antimicrobial Stewardship in Australian Health Care 2018. Sydney: ACSQHC; 2018.

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