Evidence map›Paper›PMID 30810949›Full record

ArticleIrish journal of medical science2019

The effect of re-audit and education on antibiotic prescribing practice at Causeway Hospital, Northern Ireland.

David N Johnston, Fatemeh Keshtkar, William Campbell

Abstract read
PubMed Publisher
In one paragraph

Article in Irish journal of medical science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Observational
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

David N JohnstonDepartment of Surgery, Northern HSC Trust, Causeway Hospital, 4 Newbridge Road, Coleraine, BT52 1HS, Northern Ireland. davidnjohnston1@gmail.com.ORCID http://orcid.org/0000-0001-6491-8628
Fatemeh KeshtkarDepartment of Surgery, Northern HSC Trust, Causeway Hospital, 4 Newbridge Road, Coleraine, BT52 1HS, Northern Ireland.
William CampbellDepartment of Surgery, Northern HSC Trust, Causeway Hospital, 4 Newbridge Road, Coleraine, BT52 1HS, Northern Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntimicrobial resistance is a growing global problem. There has been increasing emphasis on promoting antimicrobial stewardship. Accurate completion of antibiotic prescriptions, such as documentation of clinical indication and a stop/review date, helps promote antimicrobial stewardship.

aimsTo investigate the impact of educational interventions on the completeness of antibiotic prescriptions at Causeway Hospital surgical unit.

methodsInpatient drug prescription charts were audited to monitor the completeness of antibiotic prescriptions on the surgical unit. Two educational interventions were implemented, with a subsequent prospective re-audit carried out.

resultsThe completion of (1) "Stop date/Review date", (2) "What infection are you treating?", (3) "Cultures sent?", (4) "Printed name", (5) "Professional number", and (6) "Bleep number" fields within the inpatient drug charts increased noticeably in the re-audit. A paired t test, comparing all of the initial audit completion proportions with the re-audit completion proportions, demonstrated a statistically significant improvement (p < 0.05).

conclusionsEducational interventions led to an improvement in the completeness of antibiotic prescriptions. This highlights the important role that continued audit and education play in the promotion of antimicrobial stewardship.

Indexed as

Anti-Bacterial AgentsDrug PrescriptionsHospitalsHumansNorthern IrelandPractice Patterns, Physicians'Prospective StudiesAnti-Bacterial AgentsAntibioticAntimicrobial resistanceAntimicrobial stewardshipAuditPrescribingPrescription

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.