Secondary Care National Prescribing Indicators Kate Jenkins Kath
Secondary Care National Prescribing Indicators Kate Jenkins & Kath Haines Welsh Analytical prescribing Support Unit
Prescribing indicators are tools which can be used to compare the way different prescribers and organisations use a particular medicine or group of medicines. In October 2003, AWMSG agreed that National Prescribing Indicators (NPIs) were useful tools to promote rational prescribing across NHS Wales.
What makes a good prescribing indicator? Validated Address efficiency and quality Have a target Evidencebased Prescribing Indicator Allow comparison Clear Easily understood Standardised
Data should be: • • • Easily obtainable Easy to understand Relevant Timely As robust as possible
The antibiotic NPIs for 2015 -2016 are: • Total antibacterial items per 1, 000 STAR-PUs • Cephalosporins • as a percentage of total antibacterial items • items per 1, 000 patients • Co-amoxiclav • as a percentage of total antibacterial items • items per 1, 000 patients • Fluoroquinolones • as a percentage of total antibacterial items • items per 1, 000 patients
Future developments
What about a secondary care National Prescribing Indicator focusing on an antibiotic prescribing?
Ideas to date • Surgical prophylaxis over 24 hours • Treatment for respiratory tract infections over 1 week • Quality of antibiotic prescribing – Indication documented – Stop/review date documented – Prescription compliance with local guidelines
1. Is a secondary care NPI around antibiotic prescribing wanted? 2. Are any of the above worth considering? 3. Other ideas?
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