The Escalation Mapping Template (EMT) will help to determine which processes for recognising and responding to deterioration in a person’s mental state are working effectively, and identify if there are any problems and/or gaps in current processes.
The Commission wishes to acknowledge the significant contribution of its steering committee members in the development of the Better Care Everywhere program series.
Quality statement 8 - Antimicrobial Stewardship Clinical Care Standard
A patient having surgery or a procedure is prescribed antimicrobial prophylaxis in accordance with the current Therapeutic Guidelines or evidence-based, locally endorsed guidelines. This includes recommendations about the need for prophylaxis, choice of antimicrobial, dose, route and timing of administration, and duration.
Quality statement 7 - Antimicrobial Stewardship Clinical Care Standard
A patient prescribed an antimicrobial has regular clinical review of their therapy, with the frequency of review dependent on patient acuity and risk factors. The need for ongoing antimicrobial use, appropriate microbial spectrum of activity, dose, frequency and route of administration are assessed and adjusted accordingly. Investigation results are reviewed promptly when they are reported.
Quality statement 6 - Antimicrobial Stewardship Clinical Care Standard
When a patient is prescribed an antimicrobial, the indication, active ingredient, dose, frequency and route of administration, and the intended duration or review plan are documented in the patient’s healthcare record.
Quality statement 5 - Antimicrobial Stewardship Clinical Care Standard
A patient with an infection, or at risk of an infection, is provided with information about their condition and treatment options in a way that they can understand. If antimicrobials are prescribed, information on how to use them, when to stop, potential side effects and a review plan is discussed with the patient.
Quality statement 4 - Antimicrobial Stewardship Clinical Care Standard
A patient with a suspected infection has appropriate samples taken for microbiology testing as clinically indicated, preferably before starting antimicrobial therapy.
Quality statement 3 - Antimicrobial Stewardship Clinical Care Standard
When an adverse reaction (including an allergy) to an antimicrobial is reported by a patient or recorded in their healthcare record, the active ingredient(s), date, nature and severity of the reaction are assessed and documented. This enables the most appropriate antimicrobial to be used when required.
Quality statement 2 - Antimicrobial Stewardship Clinical Care Standard
When a patient is prescribed an antimicrobial, this is done in accordance with the current Therapeutic Guidelines or evidence-based, locally endorsed guidelines and the antimicrobial formulary.
Quality statement 1 - Antimicrobial Stewardship Clinical Care Standard
A patient with a life-threatening condition due to a suspected infection receives an appropriate antimicrobial immediately, without waiting for the results of investigations.
The Antimicrobial Stewardship Clinical Care Standard includes eight quality statements describing the key components of care that patients can expect when they have, or are suspected of having, an infection.