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Defined Daily Dose (DDD)

Calculation example In this video William Malcolm shows you a worked example of a DDD calculation, using the WHO DDDs, for an individual patient prescribed oral amoxycillin. Remember this is …

Interview with Dr Andrew Seaton (Part 2)

In Part 2 Dr Seaton describes how the guidelines were implemented, the measuring procedures used and how successful the implementation was. Some of the terms which Dr Seaton uses in …

Applying quality improvement

A Multidisciplinary Intervention to Reduce Infections of ESBL- and AmpC-Producing, Gram-Negative Bacteria at a University Hospital. We will now consider how a quality improvement approach in Denmark was used to …

Interview with Dr. Andrew Seaton (Part 1)

In this video Dr Andrew Seaton, Clinical Lead for the Antimicrobial Management Team in Glasgow, describes how a quality improvement approach was used to change antibiotic prescribing practice during an …

Interview with Dr. Brian Robson

This video introduces Dr Brian Robson, Clinical Director of Healthcare Improvement Scotland and IHI Fellow. Dr Robson explains why measurement is important to improve safety in health care.

Quality improvement in action

As we have heard from Dr Robson, the high rate of adverse events in hospital patients has driven us to improve practice, reduce errors and understand near misses as well …

Why measure?

In this video, Mr William Malcolm explains the importance of measurement in antimicrobial stewardship, and how it is fundamental to Quality Improvement Science.

Measurement for quality improvement

Measurement has been used for centuries in research but more recently has become a cornerstone of benchmarking and scrutiny within healthcare. It is also utilised through various methodologies to improve …

Five essential activities for all hospitals

The Australian Commission on Safety and Quality in Healthcare recommends five essential and four additional activities for antimicrobial stewardship in Australian hospitals as detailed below: Five Essential Activities for all …

Protection

Until now, when thinking or talking about stewardship, we often use terms such as “restricted”, “restrictive” or “restriction” as discussed in Step 2.17 and Step 2.18. At the UK’s Federation …

Low hanging fruit

There are many potential strategies, interventions and/or tools that can be used to drive stewardship improvement, but they need to be tailored to your local context and antibiotic stewardship issues. …

Interventions

A restrictive strategy uses interventions that either prevent or provide a ‘barrier’ to prescribing or administering an antibiotic. Restrictive interventions are more effective than educational interventions in the short-term, but …

In an ideal world!

Considering who should be involved in prescribing decisions for patients depends on the staff available. In an ideal world one might argue that an infection doctor should be involved in …

The antimicrobial management team

We have considered where to start with antimicrobial stewardship and we will now begin to consider the role of the antimicrobial stewardship/management team. Watch this clip of the multi disciplinary …