Course: Antimicrobial Stewardship: Managing Antibiotic Resistance

In this video Alison Macdonald, Antimicrobial Pharmacist, describes her experience of the value of PPS in an individual hospital.

In this video Maggie Heginbothom, Public Health Wales, describes the value of PPS to a national stewardship programme and how they can be used to compare within or between countries.

In the last few steps we have concentrated on what DDDs are and how they can be used. In this video Mr William Malcolm summarises this section.

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 …

Now watch this very short video clip on the importance of choosing an appropriate denominator. So far we have considered the way to measure the volume of antibiotic use, but …

Here is another short exercise. Look at the data on use of meropenem or third generation cephalosporins in Dunswood Hospital featured in the outbreak scenario. What does this show? Could …

Drug utilisation analysis has used DDDs as the key measure since the 1970s but DDDs were never developed specifically to monitor the impact of antimicrobial stewardship interventions. So what are …

One of the more commonly used alternatives to DDDs is the Days of Therapy (DOT). One DOT represents the administration of a single antibiotic on a given day regardless of …

By now you will have gained an understanding of what DDDs are and how they are calculated. This brief exercise will build on this introduction. In the video you will …

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 …

In this video William Malcolm explains what defined daily doses (DDDs) are. So far we have considered why measurement of antibiotic use is a key cornerstone of any antimicrobial stewardship …

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 …

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 …

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.

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 …