Outcomes of an electronic medical record (EMR)-driven intensive care unit (ICU)-antimicrobial stewardship (AMS) ward round: Assessing the Five Moments of Antimicrobial Prescribing

M Devchand; AJ Stewardson; KF Urbancic; S Khumra; AA Mahony; S Walker; K Garrett; M Lindsay Grayson; JA Trubiano

Journal article

Outcomes of an electronic medical record (EMR)-driven intensive care unit (ICU)-antimicrobial stewardship (AMS) ward round: Assessing the Five Moments of Antimicrobial Prescribing

M Devchand, AJ Stewardson, KF Urbancic, S Khumra, AA Mahony, S Walker, K Garrett, M Lindsay Grayson, JA Trubiano

Infection Control and Hospital Epidemiology | CAMBRIDGE UNIV PRESS | Published : 2019

DOI: 10.1017/ice.2019.218

Abstract

Objective: The primary objective of this study was to examine the impact of an electronic medical record (EMR)-driven intensive care unit (ICU) antimicrobial stewardship (AMS) service on clinician compliance with face-to-face AMS recommendations. AMS recommendations were defined by an internally developed 5 Moments of Antimicrobial Prescribing metric: (1) escalation, (2) de-escalation, (3) discontinuation, (4) switch, and (5) optimization. The secondary objectives included measuring the impact of this service on (1) antibiotic appropriateness, and (2) use of high-priority target antimicrobials.Methods: A prospective review was undertaken of the implementation and compliance with a new ICU-AM..

View full abstract

University of Melbourne Researchers

Jason Trubiano Author

Related Projects (1)

DEVELOPING AND EVALUATING A MULTIMODAL ANTIBIOTIC ALLERGY STRATEGY TO IMPROVE ANTIMICROBIAL STEWARDSHIP IN HIGH-RISK ANTIBIOTIC USAGE POPULATIONS

Antibiotic allergies lead to the use of inferior antibiotics and generation of “superbugs”. Antibiotic allergy testing removes up to 90% of ..

Grants

Awarded by National Health and Medical Research Council

Funding Acknowledgements

J.A.T. is supported by a National Health and Medical Research Council Early Careers Fellowship (grant no. APP1139902). A.J.S. is supported by a National Health and Medical Research Council Early Career Fellowship (grant no. APP1141398). K.F.U. is supported by a National Health and Medical Research Council postgraduate research scholarship (grant no. APP1133479). All other authors report no financial support relevant to this article.