Theme Theme Findings consistent across sites Findings consistent across sites Findings different across sites Findings different across sites
Hospital A Hospital B
Post-prescription review
Post-prescription review
Completed daily by the AMS pharmacist Completed during multidisciplinary meetings ID/microbiology consultants conducted a review when required Used Live AMS Reviewed restricted and unrestricted antimicrobials Live AMS was used identify, filter and review antimicrobial medications Perceived Live AMS improved patient safety Review focused primarily on restricted antimicrobials Medications were copied from Live AMS and filtered on Excel ICU used a different eMM system so antimicrobial orders were extracted separately
Review of test results
Review of test results
Microbiology advanced trainee and consultants reviewed results daily Live AMS was used to identify patients or find information Live AMS was not used
Communication of results
Communication of results
Results were communicated to teams during meetings, or by phone Observed to be challenging and time-consuming contacting doctors to communicate information
Provision of approval
Provision of approval
Approval numbers for restricted antimicrobials were provided during meetings or by phone after reviewing medications or results Prescribers contacted the AMS phone for approval AMS phone was shared by AMS team Prescribers paged the AMS pager for approval
Advise/ Educate
Advise/ Educate
Advice and education were provided during meetings or by phone after reviewing medications or results Education sessions with departments were organised when needed Prescribers contacted the AMS phone to seek advice AMS phone was shared by AMS team AMS phone was used for education Prescribers contacted ID advanced trainees directly for advice