Practice Changes to Improve Delivery of Surgical Antibiotic Prophylaxis

Strategies to enhance rational use of antibiotics in hospital: a guideline by the German Society for Infectious Diseases

“…As a result of the intervention, median hospital costs were reduced by USD 2642/intervention. By optimising the process of perioperative antibiotic prophylaxis, appropriate dosing and timely administration significantly increased from 72 to 90 % and 36 to 79 %, respectively [ 171 ]. Within the frame of quality assurance, and for benchmarking purposes with other hospitals, targeted audits of selected process of care indicators for the management of important and frequent infections can also in small acute-care hospitals lead to a significant improvement in adherence to established guidelines.…”

“…Additional quality indicators for local use should be selected and applied regularly. This allows to evaluate and document whether ABS aims can be met [ 171 ]. Owing to the different structures and organisation of hospitals, ABS measures must be evaluated locally and if need be adjusted accordingly [ 2 , 22 ].…”

“…In analogy with the so-called QUALIFY process [ 175 ], a provisional list of potentially suitable structural and process indicators was drafted. It was based on the draft of the Guideline itself, the current literature [ 1 , 6 , 25 , 86 , 105 , 171 , 176 – 189 ], including documents and experience with the former ESAC Group ( http://www.esac.ua.ac.be ) [ 190 ] and the former ABS International Group, an initiative of 9 EU member states for the improved use of antiinfectives ( http://www.abs-international.eu ) [ 191 ]. Based on the results of a workshop (15 participants) held at the ABS Expert Network meeting in November 2011 in Freiburg, a later questionnaire survey (Delphi methods, n = 75 ABS experts, i.e.…”

The care of older adults in hospital: if it's common sense why isn't it common practice?

“…), nosocomial infections (Zvonar et al . ) and the establishment of surveillance programmes (Matlow et al . ).…”

Implementation of a multifaceted program to sustainably improve appropriate intraoperative antibiotic redosing

“…Other reports in the medical literature describe interventions to increase compliance with recommended perioperative antibiotic prescribing practices, but these other reports mostly focus on the timing of the initial dose of PPA. 10,[15][16][17][18][19][20][21][22][23][24][25][26][27][28] A limited number of reports focus on ensuring appropriate PPA redosing in prolonged surgeries 1 ; those that do document only modest improvements in the redosing rate. 12,13 We demonstrated that our multidisciplinary and multifaceted approach was effective at producing immediate and sustained improvements in guideline compliance, and the magnitude of benefit was much greater than in previous reports.…”