• The following data represent the monthly use of all antimicrobials for units at RGH, PH, and WRC for which the number of patient days are collected each month. • Data are presented as defined daily dose (DDD; as described by the WHO) per 1000 patient days (kPD; see slide 3 for description of PDs) to allow for comparison between units (i.e., accounting for patient load). • Data are from April – December of 2016. • The data are meant to provide a broad overview of antimicrobial use in our facilities. The data can be used to look at long term trends in antimicrobial use, to identify anomalies in use, to plan future projects in determining appropriate use of antimicrobials, etc. • While the data are separated into various groupings of similar units, differences in patient populations (among many other factors) must still be taken into account when interpreting the data. • It is important to remember the data are not intended to place blame, but are a tool to identify differences and areas for potential improvement. There are many ways to interpret “big picture” data and many factors that need to be considered, including the methods of measurement. Please contact us if you have any questions, comments, concerns, suggestions, or requests: Antimicrobial Stewardship Program RGH 4B35 306-766-3520 [email protected] What are patient days? Month – Unit A 1 patient in hospital for 1 day = 1 patient day 1 patient in hospital for 3 days = 3 patient days 2 patients in hospital: black patient for 3 days, green patient for 2 days = 5 patient days 7 patients, 26 patient days Each patient day represents a unit of time in which the services of the facility are used by a patient. Patient days can be used as a denominator for other measures of health care in order to compare across units/time/facilities/etc. 2016 Monthly Antimicrobial Use (DDD/kPD) for Intensive Care Units 3500.00 3000.00 DDD/kPD 2500.00 2000.00 PSQ D-IC 1500.00 RGH C-IC 1000.00 500.00 0.00 Apr May Jun Jul Aug Month Sep Oct Nov Dec 2016 Monthly Antimicrobial Use (DDD/kPD) for Emergency Departments 12000.00 10000.00 DDD/kPD 8000.00 6000.00 PSQ D-1B RGH C-1G 4000.00 2000.00 0.00 Apr May Jun Jul Aug Month Sep Oct Nov Dec 2016 Monthly Antimicrobial Use (DDD/kPD) for Medicine Units 4000.00 3500.00 3000.00 2500.00 DDD/kPD PSQ D-3B PSQ D-3D 2000.00 PSQ D-4A RGH C-3E 1500.00 RGH C-5E RGH C-6F 1000.00 500.00 0.00 Apr May Jun Jul Aug Month Sep Oct Nov Dec 2016 Monthly Antimicrobial Use (DDD/kPD) for Surgical Units 1800.00 1600.00 1400.00 DDD/kPD 1200.00 1000.00 PSQ D-4C PSQ D-4D 800.00 RGH C-5F RGH C-6A 600.00 400.00 200.00 0.00 Apr May Jun Jul Aug Month Sep Oct Nov Dec 2016 Monthly Antimicrobial Use (DDD/kPD) for Pediatrics 3500.00 3000.00 DDD/kPD 2500.00 2000.00 RGH C-4F 1500.00 1000.00 500.00 0.00 Apr May Jun Jul Aug Month Sep Oct Nov Dec 2016 Monthly Antimicrobial Use (DDD/kPD) for Other Units 2500.00 PSQ D-4B PSQ D-MSU PSQ D-OBS 2000.00 PSQ D-SSU RGH C-1DE RGH C-1DW RGH C-3F 1500.00 DDD/kPD RGH C-5A RGH C-AU RGH C-CCU RGH C-CSU 1000.00 RGH C-LD RGH C-MBU RGH C-NC RGH C-PCI 500.00 RGH C-R26 RGH C-SCN RGH C-SI RGH C-SSU 0.00 RGH C-ST Apr May Jun Jul Aug Month Sep Oct Nov Dec 2016 Monthly Antimicrobial Use (DDD/kPD) for WRC 500.00 450.00 400.00 350.00 WRC A-25 DDD/kPD 300.00 WRC A-26 WRC A-32 250.00 WRC A-33 WRC A-35 200.00 WRC A-36 WRC A-M5 150.00 WRC A-M6 100.00 50.00 0.00 Apr May Jun Jul Aug Month Sep Oct Nov Dec
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