Improving antimicrobial stewardship in an Acute Medical Unit (AMU) during patient discharge following introduction of an Antimicrobial Information Card.
Am J Infect Control. 2020 Aug 15;:
Authors: Sandhu P, Singh S, Soualhi A, Tanwar H
BACKGROUND: Patients who initially present to the emergency department are often streamlined to an Acute Medical Unit (AMU). A quality improvement project was developed to introduce a new 'Antibiotic Information Card' (AIC) for patients discharged home from the AMU. Aim were to reduce 30-day readmission and reattendance rates due to the same infection after initial discharge by 75%, as well as improving patient education regarding their antibiotic prescription to 75%.
METHODS: Two Plan Do Study Act cycles were implemented in a busy AMU. Data was collected using electronic discharge software and patient records, as well as individual patient telephone questionnaires. Statistical analysis used run chart analysis.
RESULTS: Baseline findings showed a variable level of patient knowledge on their antibiotic prescriptions (14-70%) and fluctuations in 30-day reattendance rates (0-50%). After the initial introduction of the AIC, run chart analysis showed a shift in patient knowledge, significantly increasing to over 75%, and special cause variation which was not sustained.
DISCUSSION: There were no significant changes in 30-day hospital reattendance and readmission rates throughout the intervention, however there was a significant improvement in patient knowledge of their antibiotic prescription and management CONCLUSION: Staff engagement is encouraged for sustainability of quality improvement changes to promote antimicrobial stewardship within the AMU.
PMID: 32810569 [PubMed - as supplied by publisher]