Skip to 0 minutes and 5 secondsSo we've now considered both quantitative and qualitative measurement of antibiotic use, which are both essential for antimicrobial stewardship. However, we saw in the scenario that this data is only useful if it's shared with clinical teams who can make the improvements, and also with managers who are responsible for the delivery of safe and effective care. So it looks to me, Jacqui, like the antimicrobial management team did have some useful data, but they just didn't share it. What would you suggest? Well, data must be shared with the clinicians who are prescribing and administering antibiotics in a systematic way, and preferably in real time. This will allow them to address any deficiencies by changing their practice. Yeah. Yeah, I can see that, Jacqui.

Skip to 0 minutes and 53 secondsBut how are these changes fed back to the staff in order that they can improve the quality of prescribing? Well, data that you have from compliance audits or point prevelance surveys should be discussed with the clinical team on the ward as soon as possible after you've collected that data. And this might be through presenting at a ward meet or supplying charts to display on the wall or just through talking to staff on the ward. So a variety of ways then. OK. Thank you. So that was useful for everyone, Jacqui, for everyone to see how they're performing, but what would you do if you have a much larger data set, a report, or the findings of a point prevalence survey?

Skip to 1 minute and 38 secondsWhat would you do in those situations? Well, it's important that clinical leads and hospital managers get to see this type of data because they're the ones responsible for clinical care. So if you have large reports such as this, then there are various ways you can share this. It could be via email. It could be at meetings, and clinical meetings or management meetings that these papers can be presented and discussed and then some agreement made on what actions are required. OK. I can see that that's really helpful and sounds very sensible and I think would've helped in the ESBL outbreak that we've considered.

Skip to 2 minutes and 18 secondsAnd I guess, finally, do you have any other tips around the best ways to feedback data in order to bring about an effective change and improve in the quality of prescribing? Well, the other technique that is quite good is comparison with peers and identification of any prescribers who are outliers, and these may help to change behaviours. Many methods can be used for feeding back data, and it really depends on the audience and whether the data is being used for scrutiny, such as things like targets or whether it's for quality improvement at the individual ward patient level. Published reports are useful, run charts in the wards, benchmarking tables, these are all examples of feedback outputs.

Skip to 3 minutes and 7 secondsAnd they all have their uses depending on what your audience is. So that's helpful. But perhaps the key message is that important though it is to measure it is equally and perhaps even more important then to share the measurement, to share the findings in order to bring about a change to improve the quality of prescribing. Would you agree, Jacqui? Yes. I think that's the key message. Measure the data but remember to feed it back, because that's the only way that it's going to drive quality improvement and optimise your prescribing of antibiotics. Thank you.

Feedback of measurement information

This week we have considered how to collect both quantitative and qualitative information about antibiotic prescribing and how it may be fed back to various healthcare professionals – the purpose of feeding back data is to elicit a change in behaviour.

The ‘human factors’ element of behaviour change relating to antimicrobial stewardship will be studied further in Week 5.

All of the resources for this week have been logged on the BSAC resource platform ARC. These can be accessed here: ARC. For resources for this week search using MOOCWEEKTHREE or MOOCWEEK3.

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This video is from the free online course:

Antimicrobial Stewardship: Managing Antibiotic Resistance

University of Dundee