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Hospital A |
Hospital B |
Post-prescription review
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Post-prescription review
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Completed daily by the AMS pharmacist
Completed during multidisciplinary meetings
ID/microbiology consultants conducted a review when required
Used Live AMS
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Reviewed restricted and unrestricted antimicrobials
Live AMS was used identify, filter and review antimicrobial
medications
Perceived Live AMS improved patient safety
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Review focused primarily on restricted antimicrobials
Medications were copied from Live AMS and filtered on Excel
ICU used a different eMM system so antimicrobial orders were extracted
separately
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Review of test results
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Review of test results
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Microbiology advanced trainee and consultants reviewed results daily
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Live AMS was used to identify patients or find information
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Live AMS was not used
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Communication of results
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Communication of results
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Results were communicated to teams during meetings, or by phone
Observed to be challenging and time-consuming contacting doctors to
communicate information
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Provision of approval
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Provision of approval
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Approval numbers for restricted antimicrobials were provided during
meetings or by phone after reviewing medications or results
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Prescribers contacted the AMS phone for approval
AMS phone was shared by AMS team
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Prescribers paged the AMS pager for approval
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Advise/ Educate
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Advise/ Educate
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Advice and education were provided during meetings or by phone after
reviewing medications or results
Education sessions with departments were organised when needed
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Prescribers contacted the AMS phone to seek advice
AMS phone was shared by AMS team
AMS phone was used for education
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Prescribers contacted ID advanced trainees directly for advice
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