Higher order goals
Higher order goals are outcomes that are expected to improve as a result of an intervention. In this video Dr Mike Cooper explains how he successfully engaged clinicians in his …
Course: Antimicrobial Stewardship: Managing Antibiotic Resistance
Pharmacokinetics of Antimicrobials
The outcome of a bacterial infection is determined by many factors, most of which cannot be influenced by physicians: the organism’s virulence and resistance to antibiotics the host’s immune response …
Review of behaviours during the MDT meeting in the scenario
There is a very strong evidence base for successful behaviour change techniques. Changing practitioners’ behaviour is key to successful antimicrobial stewardship but in the complexity of clinical care there are …
What are biomarkers?
The European Medicine Agency defines biomarkers as: “… tests that can be used to follow body processes and diseases in humans and animals. They can be used to predict how …
Computerised systems to aid decision-making
In this video Dr Benedikt Huttner discusses how information should be held on computerised systems to aid decision-making. Watch the video and then read this extract from the Nachtigall et …
Computer decision support systems in practice
Computer decision support systems (CDS) can increase the uptake of guidelines by physicians. Nevertheless, they are difficult to implement, require significant resources for implementation and maintenance and uptake by physicians …
Implementation of novel diagnostic tests
Earlier you watched a video with Dr Paño and Dr García discussing the timing of microbiological diagnosis in regard to Bill’s case. They pointed out the importance of optimising microbiological …
A new novel test in practice: a clinical trial
In 2015 a paper, “Randomised Trial of Rapid Multiplex Polymerase Chain Reaction-Based Blood Culture Identification and Susceptibility Testing” by Banerjee et al, was published detailing the results of a clinical …
How can the yield and the impact of microbiological diagnosis be improved at your institution?
In this video Dr Paño and the microbiologist Dr García discuss how antimicrobial stewardship can play a part in optimising diagnosis time. Do you think that the yield and impact …
Diagnosing the cause of Bill’s infections
Watch Bill’s clinical scenario (or read the transcript in downloads below) and address these three questions: Do you think that getting to know which micro organisms are causing Bill’s symptoms …
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 …
Inside the microbiology lab: conventional and novel diagnostics coexisting
In this video Dr Paño, Infectious Diseases Physician introduces Bill’s case to Dr García, microbiologist. Dr Paño has provided the microbiology lab with two specimens: a urine sample and blood …
Using prescribing quality indicators
We will now consider how to use the quantitative data on patterns of antibiotic use along with the information about quality of antibiotic use to develop prescribing indicators to drive …
Balancing measures
In this video Dr Jacqueline Sneddon reflects on the importance of considering how balancing measures reflect what may be happening elsewhere in a system as a result of the improvement …
Measuring the quality of antimicrobial use
Point Prevalence Survey (PPS) data. We have looked at ways to measure the quantity of antibiotics used but how can the quality of prescribing be measured? Remember we need to …
These articles are from the online course:
Antimicrobial Stewardship: Managing Antibiotic Resistance
