Evaluating antimicrobial therapy: How reliable are remote assessors?

Cotta, Menino Osbert; Spelman, Tim; Chen, Caroline; James, Rodney; Liew, Danny; Thursky, Karin; Buising, Kirsty; Marshall, Caroline

doi:10.1016/j.idh.2016.01.002

Cited by 12 publications

(7 citation statements)

References 19 publications

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“…The difference in assessor background was particularly evident between public and private hospitals, with the former having nursing surveyors as a minority, whilst the latter having these surveyors as the majority but no surveyors who were doctors. Recent Australian data investigating the reliability of assessments of antimicrobial concordance with TG:A made by assessors from different clinical backgrounds confirms that further work is required to improve inter‐rater reliability between this heterogeneous mix of surveyors . Data comparability between hospitals could have been further affected given that assessments made earlier in the study period used the previous version of TG:A .…”

Section: Discussionmentioning

confidence: 99%

What are the similarities and differences in antimicrobial prescribing between Australian public and private hospitals?

Cotta

Chen

Tacey

et al. 2016

Internal Medicine Journal

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Section: Discussionmentioning

confidence: 99%

What are the similarities and differences in antimicrobial prescribing between Australian public and private hospitals?

Cotta

Chen

Tacey

et al. 2016

Internal Medicine Journal

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“…In addition, training is provided to all participants and phone advice is offered by the NAPS team for participants who have uncertainties or questions about specific prescriptions. To reduce the impact of lack of expertise in sites that do not have direct access to expert advice from infectious diseases physicians or microbiologists, remote support is provided by skilled antimicrobial stewardship personnel 17 . The validity of this approach has been reinforced by the consistency of findings between the years 2013 and 2014 (Box 4).…”

Section: Appropriateness Of Antimicrobial Use Including Variationsmentioning

confidence: 99%

Antimicrobial use in Australian hospitals: how much and how appropriate?

Turnidge

Thursky

Chen³

et al. 2016

Medical Journal of Australia

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Summary Antimicrobial agents play a central role in modern health care, especially in the hospital setting. This article describes the currently available information on the volumes of antimicrobial use in Australian hospitals, the appropriateness of that use, and the levels of compliance with nationally or locally endorsed prescribing guidelines. The data presented here come from the 2014 National Antimicrobial Utilisation Surveillance Program report and the 2013 and 2014 National Antimicrobial Prescribing Survey reports and are based on voluntary participation in the two programs. While the results can be considered indicative only, they show that Australia has high volumes of prescribing in hospitals, and that in certain circumstances and conditions these are inappropriate and/or not compliant with national or local prescribing guidelines. In 2014, the national aggregate use rate for antimicrobials was 936 defined daily doses per 1000 occupied bed days. In the same year, the overall rate of appropriate prescribing was 72%, and compliance with guidelines was 74% where this was assessable. The rate of surgical antimicrobial prophylaxis exceeding the benchmark of 24 hours was high (36%), as was the inappropriate prescribing for infective exacerbations of chronic obstructive pulmonary disease (38%). The findings indicate that there is room for improvement in antimicrobial prescribing in Australian hospitals, and provides insights into where the efforts for improvement might be directed.

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“…Collection of such standardized data, along with the appropriateness definitions guide (Figure 2 ) and year-round online and telephone support, allows for a more accurate assessment of the quality of prescribing and higher inter-rater reliability of the survey. 20 More recently, internal validation rules and algorithms have been implemented for improved and more standardized data collection, evaluation and assessments, to further improve inter-rater reliability.…”

Section: Introductionmentioning

confidence: 99%

The feasibility and generalizability of assessing the appropriateness of antimicrobial prescribing in hospitals: a review of the Australian National Antimicrobial Prescribing Survey

James

Nakamachi

Morris

et al. 2022

JAC-Antimicrobial Resistance

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The National Antimicrobial Prescribing Survey (NAPS) is a web-based qualitative auditing platform that provides a standardized and validated tool to assist hospitals in assessing the appropriateness of antimicrobial prescribing practices. Since its release in 2013, the NAPS has been adopted by all hospital types within Australia, including public and private facilities, and supports them in meeting the national standards for accreditation. Hospitals can generate real-time reports to assist with local antimicrobial stewardship (AMS) activities and interventions. De-identified aggregate data from the NAPS are also submitted to the Antimicrobial Use and Resistance in Australia surveillance system, for national reporting purposes, and to strengthen national AMS strategies. With the successful implementation of the programme within Australia, the NAPS has now been adopted by countries with both well-resourced and resource-limited healthcare systems. We provide here a narrative review describing the experience of users utilizing the NAPS programme in Canada, Malaysia and Bhutan. We highlight the key barriers and facilitators to implementation and demonstrate that the NAPS methodology is feasible, generalizable and translatable to various settings and able to assist in initiatives to optimize the use of antimicrobials.

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Evaluating antimicrobial therapy: How reliable are remote assessors?

Cited by 12 publications

References 19 publications

What are the similarities and differences in antimicrobial prescribing between Australian public and private hospitals?

What are the similarities and differences in antimicrobial prescribing between Australian public and private hospitals?

Antimicrobial use in Australian hospitals: how much and how appropriate?

The feasibility and generalizability of assessing the appropriateness of antimicrobial prescribing in hospitals: a review of the Australian National Antimicrobial Prescribing Survey

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