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Antibiotic Stewardship & Electronic Prescribing

Antibiotic Stewardship & Electronic Prescribing. On behalf of the EP team Dr Chris Green Director of Pharmacy October 2014. Who is prescribing?. Optional / mandatory Free type / coded CAP / . Choice of set up Indication / organ system Audit. Clinical indication. Cultures.

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Antibiotic Stewardship & Electronic Prescribing

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  1. Antibiotic Stewardship & Electronic Prescribing On behalf of the EP team Dr Chris Green Director of Pharmacy October 2014

  2. Who is prescribing?

  3. Optional / mandatory Free type / coded CAP / . Choice of set up Indication / organ system Audit Clinical indication

  4. Cultures

  5. Order sets • CURB scores • Doxycycline for LRTI • stat loading dose / five day course • IV to oral switches • Clarithromycin • Piperacillin& tazobactam

  6. Default course lengths • An opportunity - and a dilemma • Lots of options, lots of discussion • Oral meds – 5 days • IV meds – 72 hours, then 48 • Hard / soft stop options • “The computer stopped it”

  7. Compared to paper Coding of drugs and indications PP audits Full data set Huge amounts of data Maybe too much ….and noise DDDs / DOTs Real time data Big data

  8. Prescribing support

  9. Formulary support

  10. Conclusions • Many opportunities • Dilemmas • Decision support • Data and research • Real time and retrospective • Alignment of coding / nomenclature

  11. Any Questions? Thank you for listening Email: chris.green8@nhs.net @drchrisgreen

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