Impact of an electronic antibiotic advice and approval system on antibiotic prescribing in an Australian teaching hospital
The impact of a computer‐based infectious diseases electronic antibiotic advice and approval system (“IDEA3S”) was assessed as an alternative to a labour‐intensive, phone‐based approval system. IDEA3S‐based approvals replaced 48% of all approvals for the most frequently requested antimicrobial agent...
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| Veröffentlicht in: | Medical journal of Australia 2004-05, Vol.180 (9), p.455-458 |
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| container_issue | 9 |
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| container_title | Medical journal of Australia |
| container_volume | 180 |
| creator | Grayson, M Lindsay Melvani, Sharmila Kirsa, Sue W Cheung, Stephen Garrett, M Kent Korman, Anthony M Thomson, William A |
| description | The impact of a computer‐based infectious diseases electronic antibiotic advice and approval system (“IDEA3S”) was assessed as an alternative to a labour‐intensive, phone‐based approval system.
IDEA3S‐based approvals replaced 48% of all approvals for the most frequently requested antimicrobial agents (ceftriaxone/cefotaxime, vancomycin) and were associated with stable overall rates of antimicrobial use.
Antibiotic prescribing for community‐acquired pneumonia was 76% concordant with IDEA3S recommendations, and clinical acceptance of IDEA3S was excellent.
Successful implementation required a coordinated, evidence‐based approach between clinicians, pharmacists and hospital administration, together with ongoing staff education and feedback of results.
IDEA3S is a useful new adjunct to routine clinician consultation to support appropriate antibiotic prescribing for a number of common indications in hospitals. |
| doi_str_mv | 10.5694/j.1326-5377.2004.tb06022.x |
| format | Article |
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IDEA3S‐based approvals replaced 48% of all approvals for the most frequently requested antimicrobial agents (ceftriaxone/cefotaxime, vancomycin) and were associated with stable overall rates of antimicrobial use.
Antibiotic prescribing for community‐acquired pneumonia was 76% concordant with IDEA3S recommendations, and clinical acceptance of IDEA3S was excellent.
Successful implementation required a coordinated, evidence‐based approach between clinicians, pharmacists and hospital administration, together with ongoing staff education and feedback of results.
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IDEA3S‐based approvals replaced 48% of all approvals for the most frequently requested antimicrobial agents (ceftriaxone/cefotaxime, vancomycin) and were associated with stable overall rates of antimicrobial use.
Antibiotic prescribing for community‐acquired pneumonia was 76% concordant with IDEA3S recommendations, and clinical acceptance of IDEA3S was excellent.
Successful implementation required a coordinated, evidence‐based approach between clinicians, pharmacists and hospital administration, together with ongoing staff education and feedback of results.
IDEA3S is a useful new adjunct to routine clinician consultation to support appropriate antibiotic prescribing for a number of common indications in hospitals.</description><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Antibiotics</subject><subject>Antimicrobial agents</subject><subject>Biological and medical sciences</subject><subject>Drug dosages</subject><subject>Drug Prescriptions</subject><subject>Drug stores</subject><subject>Drug Therapy, Computer-Assisted</subject><subject>Drug Utilization</subject><subject>Emergency medical care</subject><subject>Epidemiology</subject><subject>Evidence-Based Medicine</subject><subject>Feedback</subject><subject>Formularies, Hospital as Topic</subject><subject>General aspects</subject><subject>Guideline Adherence</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Pathogens</subject><subject>Patients</subject><subject>Pharmaceutical preparations</subject><subject>Pharmacists</subject><subject>Pneumonia</subject><subject>Preventive medicine</subject><subject>Staphylococcus infections</subject><issn>0025-729X</issn><issn>1326-5377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkc1u1DAUhS1ERYfCK6CoEt0l9b_H7EYVhaIiNiCxsxzHoR45cbCd0uHpcZgIKnasfI_vd6-PfAA4R7BhXNLLfYMI5jUjQjQYQtrkFnKIcfPwBGz-tJ6CDYSY1QLLr6fgeUr7IhHD4hk4RQwhRjHZgJ83w6RNrkJf6bGy3pocw-hMUdm1LuSl7O6dseWmq_Q0xXCvfZUOKduhCuNjcIo2mVjU-K1yS6fazSlH7V0ps9XmbunchTS5rP0LcNJrn-zL9TwDX67ffr56X99-endztbutDSUQ10xIgriWiDDEod5qwloEiREWcmKhoLyjqJdSbAm1reHU6J52jGgLsYTYkjNwcdxbrH-fbcpqcMlY7_Vow5yUQFuBMeUFPP8H3Ic5jsWbwoQJirCUBXpzhEwMKUXbqym6QceDQlAt8ai9WjJQSwZqiUet8aiHMvxqfWFuB9v9HV3zKMDrFdDJaN9HPRqXHnECs_IThdsduR_O28N_WFAfP-zw75r8AisnraY</recordid><startdate>20040503</startdate><enddate>20040503</enddate><creator>Grayson, M Lindsay</creator><creator>Melvani, Sharmila</creator><creator>Kirsa, Sue W</creator><creator>Cheung, Stephen</creator><creator>Garrett, M Kent</creator><creator>Korman, Anthony M</creator><creator>Thomson, William A</creator><general>Australasian Medical Publishing Company</general><general>Australasian Medical Publishing Company Proprietary, Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20040503</creationdate><title>Impact of an electronic antibiotic advice and approval system on antibiotic prescribing in an Australian teaching hospital</title><author>Grayson, M Lindsay ; Melvani, Sharmila ; Kirsa, Sue W ; Cheung, Stephen ; Garrett, M Kent ; Korman, Anthony M ; Thomson, William A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4302-579316a9135160a8a35b103c7e063e0746d41f997834ebc64caf4d53ae02902e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Antibiotics</topic><topic>Antimicrobial agents</topic><topic>Biological and medical sciences</topic><topic>Drug dosages</topic><topic>Drug Prescriptions</topic><topic>Drug stores</topic><topic>Drug Therapy, Computer-Assisted</topic><topic>Drug Utilization</topic><topic>Emergency medical care</topic><topic>Epidemiology</topic><topic>Evidence-Based Medicine</topic><topic>Feedback</topic><topic>Formularies, Hospital as Topic</topic><topic>General aspects</topic><topic>Guideline Adherence</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Pathogens</topic><topic>Patients</topic><topic>Pharmaceutical preparations</topic><topic>Pharmacists</topic><topic>Pneumonia</topic><topic>Preventive medicine</topic><topic>Staphylococcus infections</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Grayson, M Lindsay</creatorcontrib><creatorcontrib>Melvani, Sharmila</creatorcontrib><creatorcontrib>Kirsa, Sue W</creatorcontrib><creatorcontrib>Cheung, Stephen</creatorcontrib><creatorcontrib>Garrett, M Kent</creatorcontrib><creatorcontrib>Korman, Anthony M</creatorcontrib><creatorcontrib>Thomson, William A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Medical journal of Australia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Grayson, M Lindsay</au><au>Melvani, Sharmila</au><au>Kirsa, Sue W</au><au>Cheung, Stephen</au><au>Garrett, M Kent</au><au>Korman, Anthony M</au><au>Thomson, William A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of an electronic antibiotic advice and approval system on antibiotic prescribing in an Australian teaching hospital</atitle><jtitle>Medical journal of Australia</jtitle><addtitle>Med J Aust</addtitle><date>2004-05-03</date><risdate>2004</risdate><volume>180</volume><issue>9</issue><spage>455</spage><epage>458</epage><pages>455-458</pages><issn>0025-729X</issn><eissn>1326-5377</eissn><coden>MJAUAJ</coden><abstract>The impact of a computer‐based infectious diseases electronic antibiotic advice and approval system (“IDEA3S”) was assessed as an alternative to a labour‐intensive, phone‐based approval system.
IDEA3S‐based approvals replaced 48% of all approvals for the most frequently requested antimicrobial agents (ceftriaxone/cefotaxime, vancomycin) and were associated with stable overall rates of antimicrobial use.
Antibiotic prescribing for community‐acquired pneumonia was 76% concordant with IDEA3S recommendations, and clinical acceptance of IDEA3S was excellent.
Successful implementation required a coordinated, evidence‐based approach between clinicians, pharmacists and hospital administration, together with ongoing staff education and feedback of results.
IDEA3S is a useful new adjunct to routine clinician consultation to support appropriate antibiotic prescribing for a number of common indications in hospitals.</abstract><cop>Sydney</cop><pub>Australasian Medical Publishing Company</pub><pmid>15115423</pmid><doi>10.5694/j.1326-5377.2004.tb06022.x</doi><tpages>4</tpages></addata></record> |
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| ispartof | Medical journal of Australia, 2004-05, Vol.180 (9), p.455-458 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Anti-Bacterial Agents - therapeutic use Antibiotics Antimicrobial agents Biological and medical sciences Drug dosages Drug Prescriptions Drug stores Drug Therapy, Computer-Assisted Drug Utilization Emergency medical care Epidemiology Evidence-Based Medicine Feedback Formularies, Hospital as Topic General aspects Guideline Adherence Hospitals Humans Infectious diseases Medical sciences Pathogens Patients Pharmaceutical preparations Pharmacists Pneumonia Preventive medicine Staphylococcus infections |
| title | Impact of an electronic antibiotic advice and approval system on antibiotic prescribing in an Australian teaching hospital |
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