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

[摘要] In many countries, most antimicrobial use forhuman consumption occurs in primary healthcare (PHC),1–4 making this sector an importantfocus for antimicrobial stewardship (AMS). It isimportant to know the indications for antimicrobial use to design targeted AMS interventions. Studies have shown that approximately15% of PHC-associated antimicrobial prescriptions in England5 and 18% of ambulatory careassociated antimicrobial prescriptions in theUSA6 lack a documented indication. Locally,in Regina, Saskatchewan, Canada, we haveseen that the proportion of undocumentedindications can be much higher among PHCprescribers (figures 1–3), although there is apaucity of data to determine how this comparesamong other Canadian jurisdictions.

[学科分类] 药学

[关键词] Primary care;Antibiotic management;Electronic Health Records;Implementation science;Health Behavior