Audits with feedback to prescribers
Audits provide important information about the quality of prescriptions. They are ideally designed as a strategy for quality improvement and are carried out in a supportive environment. Audits should primarily contribute to the reduction of antibiotic therapies and prolonged antibiotic treatments.
Similarly, the use of inappropriate routes of administration and/or the unnecessary use of broad-spectrum antibiotics should be reduced.
(1) Ensure that the hospital participates in national monitoring of antibiotic use (point prevalence study, PPS, and monitoring of surgical site infections, SSI). The recurring measurements provide comprehensive information on antibiotic use. Critical discussion of the results provides a basis for improving the quality of prescribing.
(2) Ensure that a specialist in infectious diseases or a hospital pharmacist participates in ward rounds in the intensive care unit and, optionally, in selected haematological-oncological wards, and provides feedback on antimicrobial prescriptions.
(3) Ensure that the results regarding local practice and antibiotic use are discussed with the prescribers and that improvement measures are discussed.
The audit results can be used to determine whether prescribing practices have improved. If no effect is visible, local practices and the further development of the ASP should be discussed in the relevant committees. The ASP is a voluntary programme. Participation is voluntary and does not entail any legal obligations.
https://www.swissnoso.ch/punktpraevalenz-erhebung/ueber-die-punktpraevalenz-erhebung