Risk individualisation and moral injury in the treatment of infection as impediments to the tackling of antimicrobial resistance

One Health antimicrobial resistance: stewardship in Australia

“…The common challenge that is faced is that of uncertainty, where the risk of patient deterioration, in conjunction with the prescriber's own comfort with risk, is perceived as more important than the future risk of AMR. 17 The hierarchy of hospitals and veterinary clinics, 12,18 fear of loss of autonomy of prescribing 12,18 and fear of the moral and legal consequences of patient deterioration 15 are also challenging to address and can only be overcome by strong leadership within organisations and reinforcement of evidence-based information on patient safety and quality of care. Although the barriers and facilitators are often common across prescribing settings, the interventions required to implement change are often sector specific and need to be targeted.…”