Antimicrobials in hospital – a development of advanced ePrescribing analytics

University Hospital Southampton NHS Foundation Trust

  • A collaboration between University Hospital Southampton NHS Foundation Trust, the University of Edinburgh and Triscribe Ltd. 
  • Project to visualise and increase understanding of antimicrobial prescribing and support antimicrobial stewardship initiatives.
  • Will develop novel analytics that will enable antibiotic prescribing to be evaluated and tracked by linking diagnosis, outcomes and resistance for individual and cohorts of patients. 
  • Running from February 2018 to April 2019.

Increasing antimicrobial resistance is a global health challenge. There is a perception that poor prescribing practices contribute to the problem. However, there are limited data to confirm this. Reliable data on the quality of antimicrobial prescribing in the UK are not available, with hospital drug purchasing data most often used as a proxy measure.

Reporting complete and consistent data about the prescribing and administration of antimicrobials is vital for quality improvement interventions to reduce antimicrobial resistance, but this is a major challenge for hospitals, particularly those that have not implemented ePrescribing. Even in hospitals that have ePrescribing, data analytics are not always available.

The current national CQUIN (Commissioning for Quality and Innovation) framework includes the goal of reducing antibiotic consumption and optimising prescribing practice by reducing the indiscriminate or inappropriate use of antibiotics.

This project by University Hospital Southampton NHS Foundation Trust will involve developing analytics to enable antimicrobial prescribing to be linked to diagnosis, outcomes and resistance for individual and cohorts of patients. This will identify areas for improvement and enable understanding of the clinical impact of the changes to antibiotic prescribing provoked by the CQUIN targets, as well as national shortages of critical antibiotics.  

The project will involve: creating an antibiotic prescribing database, linked to patient acuity measures, and laboratory, imaging and clinical outcome data; cleaning and processing these linked data; describing antibiotic variations by prescriber/speciality; and creating a dashboard to visualise individual patient clinical status and standardise analytical outputs.

Data from the Trust’s ePrescribing database over at least two years will be analysed using software from Triscribe Ltd. The results will be used to provide other hospitals with standard reports and benchmarking information.

Two Trust analysts will be trained in data-intensive analytical techniques, and support will be provided by the University of Edinburgh’s Usher Institute of Population Health Science and Informatics.

Contact information

For more information about this project, please  Andy Fox, Deputy Chief Pharmacist, University Hospital Southampton NHS Foundation Trust.

About this programme

Programme

Advancing Applied Analytics

This programme offers £750,000 of funding to support up to 12 project teams aiming to improve analytical capability in suppor...

Opens Nov 2019

You might also like...

Working paper

A descriptive analysis of health care use by high cost, high need patients in England

This paper explores health care use by the top 5% of users of primary and secondary care services by cost.

Blog

Fixing the UK's broken social care system

The decisions we make about technology today will have implications for the entire social care system, says Lydia Nicholas, f...

Blog

Artificial intelligence in the NHS: getting the priorities right

The NHS’s new AI lab needs to focus on the needs of patients and the health system, argue Adam Steventon, Sarah Deeny, Josh K...

Kjell-bubble-diagramArtboard 101 copy - only-wan.info

Get social

OnlyWan

A lack of secure and affordable housing is just one of the barriers young people face growing up. Read our late…

Kjell-bubble-diagramArtboard 101 - only-wan.info

Work with us

We look for talented and passionate individuals as everyone at the OnlyWan has an important role to play.

View current vacancies
Artboard 101 copy 2 - only-wan.info

The Q Community

Q is an initiative connecting people with improvement expertise across the UK.

Find out more