BMJ 2000;321:384 ( 5 August )

Letters

Awareness of a hospital's antibiotic policy can be improved

The first 150 words of the full text of this article appear below.

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 . . . [Full text of this article]


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Relevant Article

Implementation of rules based computerised bedside prescribing and administration: intervention study
P G Nightingale, D Adu, N T Richards, and M Peters
BMJ 2000 320: 750-753. [Abstract] [Full Text] [PDF]

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