Web-based decision support for improving the use of antimicrobials in hospitals
An initiative of the Royal Melbourne Hospital
Guidance supports a Learning Health Systems Framework with continuous independent and internal evaluation driving improvements informed by user feedback, clinical and digital health research.
Designed by clinicians
Evidence-based
System-wide approach
Access to decision support and local and national guidelines
Prescribers
Highly Restricted Restricted Unrestricted
Controls
Clinical Review and Dispensing
Pharmacists
Prescription review and administration
Nurses
Quality improvement and targeted feedback informed by data
Hospital
Post-prescription review and real time feedback to prescribers
Antimicrobial Stewardship teams
How Guidance works
Access to decision support and local and national guidelines
Prescribers
Highly Restricted Restricted Unrestricted
Controls
Clinical Review
and Dispensing
Pharmacists
Prescription review and administration
Nurses
Quality improvement and targeted feedback informed by data
Hospital
Post-prescription review and real time feedback to prescribers
Antimicrobial Stewardship Teams
How Guidance works
Highly Restricted Restricted Unrestricted
Controls
Prescription review and administration
Nurses
Quality improvement and targeted feedback informed by data
Hospital
Post-prescription review and real time feedback to prescribers
AMS Teams
Clinical Review and Dispensing
Pharmacists
Access to decision support and local and national guidelines
Prescribers
How Guidance works
Guidance has evolved over time to reflect clinician needs and provides the following enhanced features:
Enhanced features
to empower your
Antimicrobial Stewardship team
Antimicrobial approvals and formulary restriction
Smart integration with Electronic Medical Records and pharmacy systems.
Wider capture of antimicrobial prescribing.
Minimised manual entry of approvals.
Streamlined management of highly-restricted antimicrobials.
Interactive, real-time reporting
Provide actionable data for quality improvement.
Both general oversight and granular insight of antimicrobial prescribing and trends.
Clinical decision support
Real-time support for key indications.
Supports both indication-based and drug-based prescribing.
Embedded clinical content
Supports approvals and decision support.
Flexibility to adapt to your preferred recommendations.
Ongoing access to content updates.
Content managed by clinical experts in Infectious Diseases and Antimicrobial Stewardship.
User-friendly content management platform with no coding experience required.
Antimicrobial Stewardship team workflow
Embedded support for Antimicrobial Stewardship team workflow increases efficiency.
Easy triage of high priority patients for Antimicrobial Stewardship review.
Document and audit recommendations.
Guidance has been implemented in over 60 hospitals nationally, and has been associated with reductions in broad-spectrum antimicrobial use, Gram-negative resistance rates, and antimicrobial costs.
Evidence based impact
ReducedC. difficileinfection rates and antimicrobial costs
Significant savings in drug expenditure across a large health network
Thompson J.Multisite implementation of an electronic antimicrobial approval system. Proceedings of the Australian Society of Antimicrobials Conference. Available from:ASA Portal.
