Paediatric antimicrobial stewardship and safe prescribing: an assessment of medical staff knowledge and behaviour
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| Formato: | Artículo científico |
| Lenguaje: | en |
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Centro de investigaciones y Publicaciones Farmacéuticas
2018
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| _version_ | 1876428230219530240 |
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| author | Mona Mostaghim |
| author_facet | Mona Mostaghim |
| contents | Paediatric antimicrobial stewardship and safe prescribing: an assessment of medical staff knowledge and behaviour Mona Mostaghim Tom Snelling Hala Katf Beata Bajorek Medicina Practice Attitudes Australia Pediatrics Health Knowledge Objective: Determine baseline knowledge of antimicrobial stewardship, and safe prescribing among junior medical officers, monitor their level of participation in interactive education during protected teaching time and assess day-to-day prescribing behaviours over the subsequent 3-month period. Methods: A voluntary and anonymous survey of all non-consultant level medical officers was conducted with the use of an audience response system during mandatory face-to-face orientation sessions at a tertiary paediatric hospital. Routine prescribing audits monitored compliance with national and locally derived quality use of medicines indicators. Results: Eighty-six percent of medical officers participated by responding to at least one question (171/200). Response rate for individual questions ranged between 31% and 78%. Questions that addressed adverse drug reactions, documentation and monitoring for empiric antibiotics and the error-prone abbreviations IU and U were correctly answered by over 90% of participants. Other nonstandard and error-prone abbreviations were less consistently identified. In practice, 68% of patients had complete adverse drug reaction documentation (113/166). Error-prone abbreviations were identified on 5% of audited medication orders (47/976), approximately half included a documented indication and intended dose. Conclusions: Participants demonstrated a good understanding of safe prescribing and antimicrobial stewardship. Audits of prescribing identified potential discrepancies between prescribing knowledge and behaviours. 2018 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69061110012 https://www.redalyc.org/journal/690/69061110012/ https://www.redalyc.org/journal/690/69061110012/html/ https://www.redalyc.org/journal/690/69061110012/69061110012.epub https://www.redalyc.org/journal/690/69061110012/movil 10.18549/PharmPract.2018.02.1198 en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.2 Vol.16 |
| format | Artículo científico |
| id | redalyc_69061110012 |
| institution | Redalyc |
| language | en |
| publishDate | 2018 |
| publisher | Centro de investigaciones y Publicaciones Farmacéuticas |
| spellingShingle | Paediatric antimicrobial stewardship and safe prescribing: an assessment of medical staff knowledge and behaviour Mona Mostaghim Medicina Practice Attitudes Australia Pediatrics Health Knowledge Paediatric antimicrobial stewardship and safe prescribing: an assessment of medical staff knowledge and behaviour Mona Mostaghim Tom Snelling Hala Katf Beata Bajorek Medicina Practice Attitudes Australia Pediatrics Health Knowledge Objective: Determine baseline knowledge of antimicrobial stewardship, and safe prescribing among junior medical officers, monitor their level of participation in interactive education during protected teaching time and assess day-to-day prescribing behaviours over the subsequent 3-month period. Methods: A voluntary and anonymous survey of all non-consultant level medical officers was conducted with the use of an audience response system during mandatory face-to-face orientation sessions at a tertiary paediatric hospital. Routine prescribing audits monitored compliance with national and locally derived quality use of medicines indicators. Results: Eighty-six percent of medical officers participated by responding to at least one question (171/200). Response rate for individual questions ranged between 31% and 78%. Questions that addressed adverse drug reactions, documentation and monitoring for empiric antibiotics and the error-prone abbreviations IU and U were correctly answered by over 90% of participants. Other nonstandard and error-prone abbreviations were less consistently identified. In practice, 68% of patients had complete adverse drug reaction documentation (113/166). Error-prone abbreviations were identified on 5% of audited medication orders (47/976), approximately half included a documented indication and intended dose. Conclusions: Participants demonstrated a good understanding of safe prescribing and antimicrobial stewardship. Audits of prescribing identified potential discrepancies between prescribing knowledge and behaviours. 2018 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69061110012 https://www.redalyc.org/journal/690/69061110012/ https://www.redalyc.org/journal/690/69061110012/html/ https://www.redalyc.org/journal/690/69061110012/69061110012.epub https://www.redalyc.org/journal/690/69061110012/movil 10.18549/PharmPract.2018.02.1198 en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.2 Vol.16 |
| title | Paediatric antimicrobial stewardship and safe prescribing: an assessment of medical staff knowledge and behaviour |
| topic | Medicina Practice Attitudes Australia Pediatrics Health Knowledge |
| url | https://www.redalyc.org/articulo.oa?id=69061110012 https://www.redalyc.org/journal/690/69061110012/ https://www.redalyc.org/journal/690/69061110012/html/ https://www.redalyc.org/journal/690/69061110012/69061110012.epub https://www.redalyc.org/journal/690/69061110012/movil |