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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

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this term7a-The proportion of prescriptions for which an antimicrobial review and updated treatment decision is documented within 48 hours from the first prescription
METeOR identifier:Help on this term736892
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 an antimicrobial review and updated treatment decision is documented within 48 hours from the first prescription.

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, ‘reviewed’ means that a prescriber has assessed the antimicrobial therapy, taking into consideration any investigation results and relevant patient factors. The assessment should consider the need for ongoing antimicrobial use, appropriate microbial spectrum of activity, dose, frequency, and route of administration.

For the purposes of this indicator, a ‘documented’ decision means there is a note about the antimicrobial treatment decision in the patient's healthcare record. For example, Clinically improved, afebrile, sputum and blood cultures no growth. Ceftriaxone ceased, start oral amoxicillin 1 g tds for 5 days.

The numerator and denominator exclude long-term antimicrobial prescriptions commenced prior to admission that are not associated with the current episode of care.

Presented as a percentage.

Computation:Help on this term

(Numerator ÷ Denominator) x 100‚Äč

Numerator:Help on this term

Number of prescriptions of antimicrobials for which a prescriber has reviewed the antimicrobial therapy within 48 hours from the first prescription and an updated treatment decision 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.

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, acute and subacute facilities.

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.

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