a. Does the clinician record the clinical indication for the antibiotic a. 1.1.32 Prescribers should take time to prescribed in the patient notes using read codes? If No, what are the barriers? discuss with the patient and/or their family members or carers (as appropriate): 4b. When prescribing is outside guidelines, do the clinicians document b. • the likely nature of the condition in the patient's records the reasons for the decision? • why prescribing an antimicrobial may not be the best option • alternative options to prescribing an If No, what are the barriers? antimicrobial • their views on antimicrobials, taking into account their priorities or concerns for their current illness and whether they want or expect an antimicrobial • the benefits and harms of immediate antimicrobial prescribing • what they should do if their condition deteriorates (safety netting advice) or they have problems as a result of treatment • whether they need any written information about their medicines and any possible outcomes. 1.1.36 When prescribing is outside local (where available) or national guidelines, document in the patient’s records the reasons for the decision. a. Other than the Medicines Management Prescribing antibiotics 5a. 1.1.17 Encourage health and social care clinical meeting, does the practice analyse and discuss antibiotic practitioners across all care settings to prescribing at the GP practice regularly? work together to support antimicrobial stewardship by: • communicating and If yes, How often? sharing consistent messages about antimicrobial use
a. Does the clinician record the clinical indication for the antibiotic prescribed in the patient notes using read codes? a. If No, what are the barriers? 1.1.32 Prescribers should take time to discuss with the patient and/or their family members or carers (as appropriate): • the likely nature of the condition • why prescribing an antimicrobial may not be the best option • alternative options to prescribing an antimicrobial • their views on antimicrobials, taking into account their priorities or concerns for their current illness and whether they want or expect an antimicrobial • the benefits and harms of immediate antimicrobial prescribing • what they should do if their condition deteriorates (safety netting advice) or they have problems as a result of treatment • whether they need any written information about their medicines and any possible outcomes. 1.1.36 When prescribing is outside local (where available) or national guidelines, document in the patient’s records the reasons for the decision. 4b. When prescribing is outside guidelines, do the clinicians document in the patient's records the reasons for the decision? b. If No, what are the barriers? a. Other than the Medicines Management Prescribing antibiotics clinical meeting, does the practice analyse and discuss antibiotic prescribing at the GP practice regularly? 5a. 1.1.17 Encourage health and social care practitioners across all care settings to work together to support antimicrobial stewardship by: • communicating and sharing consistent messages about antimicrobial use If yes, How often?
Form%201%20-%2018-19%20Antibiotic%20Prescribing%20Review.docx