Measurement used for improvement

To facilitate measurement and feedback a “low-hanging fruit” toolkit, consisting of an Excel-based standardised measurement template/tool, was developed and launched in July 2012 for the five interventions.

Part of the template used is presented below:

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Once the data had been completed a run chart was generated to use at feedback meetings.

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All percentages calculated as % of patients seen on clinical pharmacy rounds with:

• the denominator: the number of patients on antibiotics that were seen by the pharmacist during ward rounds
• the numerator: the number of patients where the particular “low-hanging-fruit” intervention was implemented.
• data was collated weekly at each hospital
• submitted monthly to the AMS project manager.

The WHO ATC index with defined daily doses (DDDs)/100 bed days was adopted as the method of measurement of the impact of the AMS program on overall antibiotic consumption. You may want to revise “Introducing DDDs as a measure” from Week 3.