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EDITOR
Nightingale et al examined prescribing in a specialist
unit.1 The problem for most of us with medical staff
prescribing for patients scattered throughout a hospital is ensuring
that the rule base is available at the time and place of prescription.
Although the division of medicine's antibiotic policy in Bristol was sent to all medical staff, an audit of the use of antibiotics showed considerable deviation from the guidelines. Prescribers did not question the concept of an antibiotic policy and were very willing to adhere to it in principle. Nevertheless, a proportion of the house staff either could not locate a copy of the policy at the time and place of prescription or denied the existence of such information.
Recirculating the policy in its original form on three A4 sheets was
thought to have little chance of success as the papers would once again
be lost within the mass