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66-436 / Monitoring the consumption of antimicrobials in Slovenia

Slovenia
GOP Information  
 
Organisation sharing the GOP
Related practices from PaSQ database
Ministry of health

Topic

Clinical risk management
There is no specified text here
Category
Surveillance of Patient Safety
Infection control / Prevention of surgical site infections
GOP Description
 
Implementation level
National
Clinical settings
Hospitals
Objectives
The GOP objective is to monitor antibiotic consumption in some wards in all types of Slovenian hospitals.
Population
Clinical pharmacists
Methods
 
Methodology
Clinical pharmacists send data about antibiotic consumption in some wards to the central data manager, where these data are adjusted to DDD comparable units. These data are then fed back to the hospitals.
Timeframe implementation
6 - 12 months
Implementation tools available
In the last decade we have developed ways of monitoring antibiotic consumption in some wards (surgery, internal medicine, gynaecology, paediatric and ICU) in all types of Slovenian hospitals. The data are available on the website and every hospital pharmacist who provided the data can see his or her own data and also compare themselves against average consumption in hospitals of the same size.
Implementation cost
IT costs for both ambulatory and hospital monitoring of antibiotic consumption are 16.000 EUR annually.
Results
 
Method used to measure the results
The data for health care (consumption of antimicrobials) are expressed in DDD per 1000 inhabitants per day (DID).
Results
The data for health care (consumption of antimicrobials) are expressed in DDD per 1000 inhabitants per day (DID) and are shown annually, and at the University medical centre Ljubljana also monthly.
National data on HC are also publicly available from www.si-map.org
Analysis of the results
Every hospital is since 2011 obliged to monitor the consumption of antimicrobials; this has become a quality indicator in health care. The data from hospital as a whole and from the 5 wards are collected by the end of January for the past year. The data are analysed by the National Antimicrobial Committee. Members of this Committee will subsequently audit the appropriateness of antimicrobial use (audits are already going on since 2013).
Implementation barriers
 
Did you find implementation barriers?
Yes
Please describe implementation barriers
Nonparticipation of clinical pharmacists, management ignorance, unresponsiveness of doctors
Describe the strategies used to overcome the barriers (If needed)
There is no specified text here
Other information
 
Other information about the GOP that you would like to add (Link or attached document)
Hospitals are the epicentre of the development of bacterial resistance and the data on consumption of antimicrobials provide the basis for improving antibiotic prescribing, evaluating trends, interventions, bechmarking and correlation between antibiotic consumption and resistance.
There is no specified text here
Contact information
 
Name: Eva Murko
Position/function: Undersecretary
Department: Sector for quality and safety in health care
Organisation: Ministrstvo za zdravje
City: Ljubljana
Country: Slovenia
Region: Slovenija
E-mail: eva.murko@gov.si
Phone: +386 1 400 6991
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