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992 / Management of the antibiotic use through the antibiotic reserve form

CROATIA
Classification of the PSP
Type of Patient Safety Practice Not Evaluated
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Medication / IV Fluids
There is no specified text here There is no specified text here
Topic of the reported practice
Clinical guidelines or pathways
Aim and the benefit of the Patient Safety Practice
 
Antibiotics are among the most prescribed drugs in the hospital. This increases the incidence of antibiotic resistance or ineffectiveness which can lead to complication and prolongation of an illness of a treated patient. It also raises a problem of a higher cost of a treatment. Reduction of irrational and unnecessary prescribing of antibiotics, led to developing of intrahospital clinical guidelines for antibiotic reserve prescribing and the antibiotic reserve form. Guidelines are regularly reviewed, revised and presented on the expert meetings and on the intranet. An antibiotic reserve form for every patient is audited on daily basis by the pharmacist and an experienced pharmacy technician. Aim of the antibiotic reserve form leads toward restriction of antibiotics use, reduction of bacterial resistance and inappropriate use of antibiotics which results in optimal and safe treated patient.
Description of the Patient Safety Practice
 
The practice is implemented in almost all hospital wards. The criteria for prescribing antibiotic reserve are: patients with symptoms that are significant or severe, if there is a high risk of complications, or the infection is not resolving. An antibiotic reserve form is filled by the physician who is authorized for prescribing an antibiotic reserve. This is sent to hospital pharmacy where the pharmacist and an experienced pharmacy technician check validity of the form. If it is not wholesome, pharmacist talks to the physician which corrects the form and then antibiotic reserve can be issued and given to the patient for specified number of days. Prolongation of antibiotic therapy requires a revision of the patient status, a new authorization by the physician and validation from the pharmacist. In that way the patient safety practice is assured.
Attachment of relevant written information and/or photos, as appropriate
There is no specified text here
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Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, fully
Level of implementation of reported practice
Institution level
Specific and measurable outcome for the reported practice were defined
Yes
A baseline measurement before implementation of the reported practice was obtained
No
A measurement after full implementation of the reported practice was obtained
Yes
Evaluation of a "positive" effect of the reported practice on Patient Safety
The evaluation showed improvements in Patient Safety outcomes
Type of before-and after evaluation
Both/mixed (qualitative and quantitative)
Enclosure of a reference or attachment in case of published evaluation's results
There is no specified text here
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Health care context where the Patient Safety Practices was implemented
 
Hospital
Transferability
 
Successful implementation of this Patient Safety Practice in other health care settings than above stated
Yes
Specification of implementation in another health care setting(s)
Hospital
Successful implementation's level  of this Patient Safety Practice across settings
Yes, across multiple specialities within the same setting
Involved health care staff
 
Physicians
Nurses
Pharmacists
Technical support / technician
Patient Involvement
 
Direct service user's involvement as integral part of this Patient Safety Practice
No
Specification of the service users or their representatives' involvement in the implementation of this Patient Safety Practice
There is no specified text here
Point of time in which service user or their reprasentatives' involvement takes place
There is no specified text here
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
There is no specified text here
Short description of the service users' level of involvement
There is no specified text here
Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users
No
List of sources where public information is accessible
There is no specified text here
Implementation of the Patient Safety Practice
 
Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice
No
Problems encountering in the implememntation course of this Patient Safety Practice like lack of motivation, no management support, etc.
Not known or not relevant
List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice
There is no specified text here
List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice
There is no specified text here
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
Not relevant
Description of used incentives, if any.
There is no specified text here
Existence of support or approval by the clinical or hospital management or any other hihg level authority in the implementation process of this Patient Safety Practice
Yes
Costs of the Patient Safety Practices
 
Completion of cost calculation related to this Patient Safety Practice
No
Total number of person days required to implement this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total cost in Euro of specific equipment (machines, software, communications supplies, etc.) needed to support implementation of this Patient Safety Practice
There is no specified text here
Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
There is no specified text here
Contact information
 
Name: Darija Kuruc
Country: CROATIA
Organisation: General hospital "dr. Tomislav Bardek",Department of Hospital Pharmacy
E-mail: dakuruc@obkoprivnica.hr
Phone: 00385 91571 1645
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