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Restrictive Use Policy

Improvement Methodology: Introduction of ALERT Second Line Antibiotic Policy Steve McCormick Lead Antimicrobial Pharmacist NHS Lanarkshire. Restrictive Use Policy. Pilot across three acute sites in July 2009 Benchmark Practice => challenging areas first

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Restrictive Use Policy

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  1. Improvement Methodology: Introduction of ALERT Second Line Antibiotic Policy Steve McCormickLead Antimicrobial PharmacistNHS Lanarkshire

  2. Restrictive Use Policy

  3. Pilot across three acute sites in July 2009 Benchmark Practice => challenging areas first Followed the Scottish Patient Safety Programme (SPSP) Test of Change approach 1 => 3 => 5 spread Following analysis of pilot data, the policy was rolled out across all NHSL wards in January 2010 A A A P P P S S S D D D Data

  4. “What doesALERTmean ?” Second Line Antibiotic Policy - Isobel Patterson C [Sister ICU MK]

  5. Key Driver = Quality NOT Savings

  6. Appropriate Prescribing

  7. Non ALERT Use

  8. Usage Hotspots • Monthly report will enable drill down to ward, consultant, patient – retrospective analysis of use

  9. Role Models or Outliers ?

  10. Pareto Chart Analysis

  11. “Non compliance – how can we minimise?” “We are not joining the pilot” “Seems to be working” “Ok FY’s will do it” “Our area will be exempt” “..but we use these all the time”

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