Impact of an electronic antibiotic advice and approval system on antibiotic prescribing in an Australian teaching hospital

The impact of a computer‐based infectious diseases electronic antibiotic advice and approval system (“IDEA3S”) was assessed as an alternative to a labour‐intensive, phone‐based approval system. IDEA3S‐based approvals replaced 48% of all approvals for the most frequently requested antimicrobial agent...

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Bibliographic Details
Published in:Medical journal of Australia 2004-05, Vol.180 (9), p.455-458
Main Authors: Grayson, M Lindsay, Melvani, Sharmila, Kirsa, Sue W, Cheung, Stephen, Garrett, M Kent, Korman, Anthony M, Thomson, William A
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - therapeutic use
Antibiotics
Antimicrobial agents
Biological and medical sciences
Drug dosages
Drug Prescriptions
Drug stores
Drug Therapy, Computer-Assisted
Drug Utilization
Emergency medical care
Epidemiology
Evidence-Based Medicine
Feedback
Formularies, Hospital as Topic
General aspects
Guideline Adherence
Hospitals
Humans
Infectious diseases
Medical sciences
Pathogens
Patients
Pharmaceutical preparations
Pharmacists
Pneumonia
Preventive medicine
Staphylococcus infections
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Summary:The impact of a computer‐based infectious diseases electronic antibiotic advice and approval system (“IDEA3S”) was assessed as an alternative to a labour‐intensive, phone‐based approval system. IDEA3S‐based approvals replaced 48% of all approvals for the most frequently requested antimicrobial agents (ceftriaxone/cefotaxime, vancomycin) and were associated with stable overall rates of antimicrobial use. Antibiotic prescribing for community‐acquired pneumonia was 76% concordant with IDEA3S recommendations, and clinical acceptance of IDEA3S was excellent. Successful implementation required a coordinated, evidence‐based approach between clinicians, pharmacists and hospital administration, together with ongoing staff education and feedback of results. IDEA3S is a useful new adjunct to routine clinician consultation to support appropriate antibiotic prescribing for a number of common indications in hospitals.
ISSN:0025-729X
1326-5377
DOI:10.5694/j.1326-5377.2004.tb06022.x