RT Journal Article
SR Electronic
T1 Increasing the documentation of 48-hour antimicrobial reviews
JF BMJ Open Quality
JO BMJ Open Qual
FD British Medical Journal Publishing Group
SP e000805
DO 10.1136/bmjoq-2019-000805
VO 9
IS 1
A1 Ramandeep Singh Sahota
A1 Kiran Kasper Rajan
A1 Jonathan Mark Sabine Comont
A1 Hyungeun Hans Lee
A1 Nikolina Johnston
A1 Mary James
A1 Rakhee Patel
A1 Joseph Nariculam
YR 2020
UL http://bmjopenquality.bmj.com/content/9/1/e000805.abstract
AB Antimicrobial resistance is a growing problem worldwide. Encouraging antimicrobial stewardship can help to reduce the negative consequences of inappropriate antibiotic use. This quality improvement project targets to do this by aiming to improve the proportion of 48-hour antimicrobial reviews completed and documented on two surgical wards at Darent Valley Hospital with a goal of 100% compliance.This project used four PDSA (plan, do, study, act) cycles to achieve our aim: a trust-wide email; education sessions with junior doctors; sticker reminders in patient notes; presenting our study to surgical consultants and displaying posters on the wards.The proportion of antimicrobial reviews completed at 48 hours in the patient notes increased from 18% to 77% over 19 weeks from 10 October 2018 to 20 February 2019. The most successful intervention was providing a presentation for consultants at an audit meeting in conjunction with displaying posters on the wards.The most successful interventions (education sessions with junior doctors and presentation to surgical consultants alongside displaying posters on the wards) were found to be those that required minimal further input after their initial rollout. This project was carried out by medical students and is highly transferrable to other hospitals, and highlighted that a successful quality improvement project can be undertaken by any member of the healthcare team.