Point Prevalence Survey Tools

The previous format for conducting the audit is very time consuming and there were issues with accuracy in the data entry process. National co-ordinators identified that the data collection process can be simplified by using electronic devices, saving several weeks work, reducing transcription errors and improving the accuracy of results. A digital auditing solution also allowed them to increase the frequency of surveys and allow for improved statistics on antibiotic usage in future.

The proposed Point Prevalence Survey (PPS) solution was rolled out as an audit app via mobile devices, in an easy to use format. Data is collected on a secure cloud with an online control panel, where reports are automatically generated and available to users.

The PPS trial was conducted in October and where we worked closely with the client to ensure that the data gathered and the reporting functionality of our system can be scaled for national usage in 2016.

Gentamicin & Vancomycin Calculators

Gentamicin is an aminoglycoside antibiotic generally used for the treatment of infections and surgical prophylaxis. Gentamicin is commonly used to treat urinary tract infections, sepsis, intra-abdominal infections, endocarditis, pelvic inflammatory disease and complicated skin, bone and soft tissue infections. It is not absorbed from the gut when administered orally, and is therefore predominantly administered via intramuscular or intravenous injection. Gentamicin can cause serious dose-related side effects including nephrotoxicity and irreversible hearing loss, so it is important to ensure patients receive the correct dose and are monitored regularly.

Vancomycin is a glycopeptide antibiotic used for treatment of patients with suspected or proven invasive gram-positive infections, including methicillin-resistant Staphylococcus aureus (MRSA). Appropriate dosing requires consideration of the infection site, patient weight, renal function, and pathogen susceptibility. Therefore, careful attention to individualizing therapy and prudent use of serum concentration monitoring (when indicated) will assist in selecting the appropriate dose. It undergoes limited absorption when administered orally and is therefore restricted to parenteral administration for the treatment of systemic infections.

MEG has also been developing Gentamicin and Vancomycin calculators for many Irish hospitals. Features of MEG devised Gentamicin and Vancomycin calculators:

  • Ease of use
  • Accurate calculations
  • Built based on dosing algorithms provided

Thrombosis Calculators

The Rotunda Hospital in Dublin, Ireland had a patient population of almost 11,000 mother delivering babies in 2014 with venous thromboembolism (VTE) the leading cause of direct maternal death. Many of deaths may have been prevented if VTE risk assessment had been performed and appropriate anticoagulation prescribed.

The objective of the project was to develop and implement a user-friendly electronic VTE risk assessment tool for use in women after delivery, to increase the number of women who undergo formal VTE risk assessment and thereby improve the prevention of VTE in these women.

Thrombocalc has provided an easy to use and highly effective mechanism for rapid, accurate assessment of individual postnatal VTE risk. The midwives and nursing staff of the Rotunda Hospital, who have incorporated this risk assessment tool as part of their standard of care, have been instrumental to the successful implementation of this VTE preventative strategy. The team is currently validating an intranet version of Thrombocalc which was also developed in collaboration ourselves.

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