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Title: Impact of an electronic antibiotic advice and approval system on antibiotic prescribing in an Australian teaching hospital.
Austin Authors: Grayson, M Lindsay ;Melvani, Sharmila;Kirsa, Sue W;Cheung, Stephen;Korman, Anthony M;Garrett, M Kent;Thomson, William A
Affiliation: Austin Health, Studley Road, Heidelberg, VIC 3084, Australia
Issue Date: 3-May-2004
Publication information: Medical Journal of Australia; 180(9): 455-8
Abstract: The impact of a computer-based infectious diseases electronic antibiotic advice and approval system ("IDEA(3)S") was assessed as an alternative to a labour-intensive, phone-based approval system. IDEA(3)S-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 IDEA(3)S recommendations, and clinical acceptance of IDEA(3)S 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. IDEA(3)S is a useful new adjunct to routine clinician consultation to support appropriate antibiotic prescribing for a number of common indications in hospitals.
Gov't Doc #: 15115423
Type: Journal Article
Subjects: Anti-Bacterial Agents.therapeutic use
Drug Prescriptions
Drug Therapy, Computer-Assisted
Drug Utilization
Evidence-Based Medicine
Formularies, Hospital
Guideline Adherence
Appears in Collections:Journal articles

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