Antimicrobial Stewardship Audit

Use this Antimicrobial Stewardship Audit to review antibiotic use, ensure and optimize prescribing practices, and document findings for safer care audits.

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Healthcare
Antimicrobial Stewardship Audit

Leadership & Management Commitment

Clinical Assessment & Documentation

Prescribing Appropriateness (Dose, Duration & Type)

Patient Communication & Consent

Monitoring & Quality Improvement

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Antimicrobial Stewardship Audit

Use this Antimicrobial Stewardship Audit to review antibiotic use, ensure and optimize prescribing practices, and document findings for safer care audits.

1. A designated "AMS Lead" is identified within the practice to oversee antibiotic prescribing policies.

2. The practice has a written "Antimicrobial Stewardship Policy" that is reviewed and updated annually.

3. Antibiotic prescribing data is regularly reviewed at staff meetings to identify trends or outliers.

4. Staff members have access to up-to-date national or local clinical guidelines (e.g., NICE, SIGN, or CDC) for infection management.

1. The "Reason for Prescription" (e.g., acute swelling, systemic involvement) is clearly documented in the clinical notes.

2. A definitive or differential diagnosis is recorded before any antimicrobial is prescribed.

3. Evidence of "Delayed Prescribing" or "Non-Prescription" advice is documented for infections likely to be viral or self-limiting.

4. Patient allergies, particularly to Penicillin, are verified and highlighted in the record prior to any prescription.

1. The choice of antibiotic matches the current recommended "First-Line" therapy for the specific infection.

2. The dose and frequency of the antibiotic are recorded and comply with standard clinical pharmacopeias.

3. The duration of the course is the "shortest effective length" as per current stewardship guidelines to minimize resistance.

4. Broad-spectrum antibiotics (e.g., Co-amoxiclav) are only used as a second-line treatment when clinically justified.

1. Patients are provided with written or verbal information regarding why an antibiotic may not be necessary.

2. Risks of antibiotic resistance and potential side effects are discussed with the patient and recorded.

3. Clear instructions on how to take the medication and the importance of completing the course are provided.

4. Patients are advised on "Safety Netting"—specifically when to seek further help if symptoms worsen.

1. A formal "Antimicrobial Audit" is conducted at least once every six months.

2. The practice maintains a log of "Adverse Drug Reactions" related to antibiotic use.

3. Any "Repeat Prescriptions" for the same infection are flagged and reviewed by the lead clinician.

4. Staff have completed verified Continuing Professional Development (CPD) in antimicrobial stewardship within the last two years.