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. 2022 Mar;11(1):e001760.
doi: 10.1136/bmjoq-2021-001760.

Using audit and feedback to encourage primary healthcare prescribers to record indications for antimicrobial prescriptions: a quality improvement initiative

Jason Robert Vanstone  1   2 , Shivani Patel  3 , Warren Berry  3 , Michelle Leigh Degelman  3 , Caitlin Hanson  4 , Casey Phillips  3   2 , Robert Parker  3   2
Affiliations

Using audit and feedback to encourage primary healthcare prescribers to record indications for antimicrobial prescriptions: a quality improvement initiative

Jason Robert Vanstone et al. BMJ Open Qual. 2022 Mar.
No abstract available

Keywords: Antibiotic management; Electronic Health Records; Health Behavior; Implementation science; Primary care.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Example of the monthly email and data sent to clinics for audit and feedback. Emails with attached Excel files were sent to a contact in each clinic who distributed the files to prescribers within their clinics. The Excel file included a filter allowing prescribers to select their individual number to view their percentage of indications over time (line graph) and the number of antimicrobial prescriptions compared with the number of indications for those prescriptions (histogram) each month. The orange line in the line graph represents the minimum target of 80% of antimicrobial prescriptions with a documented indication.
Figure 2
Figure 2
Upward trend in the percentage of antimicrobial prescriptions with indications. The data in this control chart highlight an upward trend (green data points indicate an unstable trend in the preferred direction) in the postintervention data (ie, following a process change). Prior to the intervention, 21.4% of prescriptions had a documented indication (blue line; January 2019–February 2020). Following the initiation of the monthly audit and feedback report, the monthly percentage of indications increased and the postintervention average was 37.8% (March 2020—August 2021). Red and green data points indicate unstable points and trends identified by the software (QI Macros, KnowWare International). CL, central line; LCL, lower control limit; UCL, upper control limit.
Figure 3
Figure 3
Changes in the percentage of recorded indications for individual prescribers preintervention and postintervention. For each prescriber, the percentage of recorded indications for antimicrobial prescriptions is shown with a blue dot for the preintervention phase (January 2019–Feb 2020) and a red dot for the post-intervention phase (March 2020—August 2021). Prescribers with fewer than ten prescriptions preintervention or postintervention were excluded.
See this image and copyright information in PMC

References

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