A quality improvement intervention to address provider behaviour as it relates to utilisation of <scp>CA</scp>‐<scp>MRSA</scp> guidelines

Velez, Roseann; Becker, Kathleen; Davidson, Patricia M.; Sloand, Elizabeth

doi:10.1111/jocn.12684

Cited by 6 publications

(2 citation statements)

References 14 publications

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“…Additionally, international interventions focussing on factors influencing inappropriate prescribing have been shown to improve antibiotic prescribing over time [15,[23][24][25][26], particularly for respiratory tract infections [27][28][29][30]. These interventions include educational sessions [31,32] and support material for GPs [33,34]. In Australia, effective educational interventions have been multi-faceted, encompassing online modules [26,35] and academic detailing (face to face education provided by qualified professionals) [10,36].…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of a simple antimicrobial stewardship intervention in general practice in Australia: a pilot study

et al. 2020

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Background: Inappropriate and excessive antimicrobial prescribing can lead to antimicrobial resistance. Antimicrobial Stewardship (AMS) principles are not well established in general practice in Australia despite the relatively high rate of community antimicrobial prescribing. Few interventions have been implemented that have resulted in a significant reduction or improvement in antimicrobial prescribing by General Practitioners (GPs). This study was therefore conducted to assess the impact of a novel GP educational intervention on the appropriateness of antimicrobial prescriptions as well as GP compliance with antimicrobial prescription guidelines. Methods: In 2018, a simple GP educational intervention was rolled out in a large clinic with the aim of improving antimicrobial prescribing. It included face-to-face education sessions with GPs on AMS principles, antimicrobial resistance, current prescribing guidelines and microbiological testing. An antibiotic appropriateness audit on prescribing practice before and after the educational intervention was conducted. Data were summarised using percentages and compared across time points using Chi-squared tests and Poisson regression (results reported as risk ratios (RR) with 95% confidence intervals (CI)).

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Section: Introductionmentioning

confidence: 99%

The effectiveness of a simple antimicrobial stewardship intervention in general practice in Australia: a pilot study

et al. 2020

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“…12,13 There are, however, many studies that demonstrate the influence of improvement interventions on behaviour change of healthcare professionals in practice. 14 In addition, there is some evidence that medical students' attitudes to medicine and their idealism degrade through their time at medical school and when they start as doctors. 15…”

Section: Introductionmentioning

confidence: 99%

Developing the next generation of quality improvers: An evaluation of a region wide structured support quality improvement training programme

et al. 2016

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Introduction: Despite an increasing and widespread understanding of the importance of quality improvement in healthcare, medical students and junior doctors receive variable training in improvement methods. The South West Foundation Doctor quality improvement programme attempted to equip junior doctors with the skills to develop and improve healthcare services. Methods: A questionnaire-based evaluation was undertaken of a cohort of first-year doctors who took part in a 9-month quality improvement educational intervention. The study was conducted across a whole training region with some of the hospitals running the quality improvement educational intervention and one acting as the natural control cohort. A previously validated questionnaire was sent out at the start and end of their first year. Results: In questions related to attitudes to all domains of quality improvement first-year doctors consider it an important part of their role as doctors to improve the quality of healthcare. However, they do not think they are equipped with the skills to do this improvement. During their first year as doctors, these self-reported skills increased dramatically in the hospitals that took part in the programme but not in the single hospital that did not run the programme. Conclusion: First-year doctors consider improving the quality of healthcare to be an important part of their job. This can be contrasted to their self-reported skills related to quality improvement when they start their first year. In hospitals that run a structured, supported experiential quality improvement programme, these self-reported skills increase statistically significantly.

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Educational Antimicrobial Stewardship Strategies

Gravatt

Patterson

Franzese

2016

Curr Treat Options Infect Dis

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A quality improvement intervention to address provider behaviour as it relates to utilisation of CA‐MRSA guidelines

Abstract: This quality improvement project underscores the complexity of changing prescriber behaviour and the need for ongoing interventions.

Cited by 6 publications

References 14 publications

The effectiveness of a simple antimicrobial stewardship intervention in general practice in Australia: a pilot study

The effectiveness of a simple antimicrobial stewardship intervention in general practice in Australia: a pilot study

Developing the next generation of quality improvers: An evaluation of a region wide structured support quality improvement training programme

Educational Antimicrobial Stewardship Strategies

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