Domain 2:

Safety and Quality

Example 1 - Antibiotic (5 or 8 criterion audit)

As a sessional doctor you will often see a high proportion of patients presenting for unscheduled care with simple infections. Your prescribing will reflect this.

For ten surgeries, note your use of antibiotic prescribing against your chosen set of criteria and standards. You need to consider setting criteria such as:

  1. Patients receiving antibiotics should have a recognised condition for which antibiotics are recommended
  2. Antibiotics should be used which are in line with local formulary or microbiology laboratory recommendations for first line use, unless clinically contraindicated
  3. When appropriate, microbiology sampling should be undertaken to check on organisms and sensitivities
  4. All antibiotic prescribing should use the most effective dose and duration of treatment for the identified condition, in line with local formulary guidelines or the BNF.
  5. All antibiotic prescribing should be accompanied by a check for known past history of hypersensitivity.
  6. All antibiotic prescribing should be accompanied by a check for potential drug interactions.
  7. Broad spectrum antibiotics should only be used where clinically indicated.
  8. If a second line antibiotic is used, the reason for its use should be documented.
  9. All potentially infective lesions or conditions should be subject to local infection control policies.
  10. Patients with MRSA should be handled in line with agreed local guidelines.

These are only examples of criteria which you might choose from. You are recommended to use criteria which you can justify, and you will then need to justify the standards that you set for your performance. You might want to consider repeating the exercise for another 10 surgeries at a later date, to complete the "audit cycle".

Prescribing Review form | File Size: 134 KB | Date Updated: 14/02/2014

This page was last updated on: 18/08/2016