From: An outpatient antibacterial stewardship intervention during the journey to JCI accreditation
Indicators | First phase | Second phase |
---|---|---|
(March, 2012) | (March, 2013) | |
Number of randomly selected antibacterial prescriptions for outpatients* | 559 | 446 |
Number of DRPs | 76 | 18 |
Occurrence rate of DRPS# | 13.6% | 4.0% |
Occurrence rate of DRPs made by surgeons∆# | 19.5% | 5.6% |
Occurrence rate of DRPs made by internal medicine physicians# | 8.4% | 2.8% |
Occurrence rate of each subtype of DRP | ||
(1) Inappropriate coadministration with non-antibacterials | 4 (0.7%) | 6 (1.3%) |
(2) Inappropriate co-medication with other antibacterials# | 17 (3.0%) | 3 (0.7%) |
(3) Inappropriate dosing frequency | 8 (1.4%) | 3 (0.7%) |
(4) Inappropriate dose | 1 (0.2%) | 2 (0.4%) |
(5) Inappropriate administration route | 1 (0.2%) | 0 |
(6) Use beyond approved indications | 1 (0.2%) | 2 (0.4%) |
(7) Discordance between diagnosis and purpose of medication use | 8 (1.4%) | 2 (0.4%) |
(8) Mismatches between antibacterial spectrum and the patient’s infection# | 15 (2.7%) | 0 |
(9) Abuse of i.v. medications instead of oral alternatives# | 16 (2.9%) | 0 |
(10) No diluent for i.v. antibacterials | 1 (0.2%) | 0 |
(11) Ignorance of patient’s other diseases | 4 (0.7%) | 0 |