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Computer-assisted concurrent antibiotic review in a community hospital
American Journal of Hospital Pharmacy
|February 1, 1985
Summary
This study introduces a computer-assisted antibiotic review program to ensure appropriate antibiotic prescribing. The system matches patient drug profiles with microbiology reports, enabling rapid detection of inappropriate antibiotic use in hospitals.
Area of Science:
- Health Informatics
- Clinical Pharmacy
- Infectious Diseases
Background:
- Antibiotic resistance necessitates careful monitoring of prescribing practices.
- Manual review of antibiotic use is time-consuming and prone to errors.
- Integrating pharmacy and laboratory data can improve antimicrobial stewardship.
Purpose of the Study:
- To describe a computer-assisted antibiotic review program.
- To improve the appropriateness of antibiotic prescribing in a hospital setting.
- To facilitate concurrent review of antibiotic therapy.
Main Methods:
- Development of a computer program linking microbiology reports and patient drug profiles.
- Incorporation of an antibiotic order sheet with automatic stop dates.
- Generation of drug/microbiology reports to identify mismatched sensitivity results and prolonged antibiotic use.
Main Results:
- The program screens large inpatient populations receiving antibiotics.
- Mismatched antibiotic sensitivities and inappropriate use are detected within 24 hours.
- Facilitated peer review of antibiotic prescribing actions by an antibiotic review committee.
Conclusions:
- Computer-assisted antibiotic review programs are effective for antimicrobial stewardship.
- Concurrent review of drug and microbiology data enhances detection of prescribing errors.
- Automation of antibiotic use review improves efficiency and patient care.