Triscribe for Antibiotics - IV to Oral Switching

Use existing Triscribe analytics to revolutionise your ward rounds and support compliance with CQUIN03 for IVOS switching of antibiotics

Antimicrobial stewardship remains a priority in NHS hospitals. One specific focus is CQUIN03: Prompt switching of intravenous to oral antibiotic. Triscribe can help you with this target in two ways.

1. Revolutionise your ward round by finding a list of patients for IVOS switching reviews with a few clicks.

2. Monitor the proportion of antibiotics administered intravenously. Track trends so you can see the effectiveness of efforts to improve.

Read about these analytics below or watch this short video to learn more

Note: Everything described in this post is already available in Triscribe. You can get Triscribe for your hospital now and we can be up and running in 4 -6 weeks.

Revolutionise your ward round

In any hospital, there are likely to be hundreds of patients every day that are treated with IV antibiotics. Switching from IV to oral treatment is important for better patient outcomes. And a vital part of improving antimicrobial stewardship. It’s not always the right thing for the patient, so switching requires a clinical review.

Clinical review requires clinical expertise and judgement. This is the work you want hospital pharmacists to concentrate on every day. How much time is wasted? Time spent by clinicians working through systems to identify the patients that need review and figure out where they are in the hospital.

Triscribe already has a simple solution to this. Use our Antibiotics - Active prescriptions to see a list of patients due to receive antibiotics by injection or infusion at the start of each day.

Daily list of patients for IVOS ward round

This provides an ideal work list for any pharmacist, doctor, or nurse carrying out IVOS reviews. Triscribe filters allow the user to specify which ward or wards they want, so the list is only the patients needed for their ward round.

Each user can save those settings. Then Triscribe will show exactly what the individual needs immediately. And they can download the list in a csv file for sharing or uploading into other hospital systems.

Better data can help you make sure your team review the right patients every day. Triscribe uses better data to help clinicians save time. Get to the right information with just a couple of clicks.

Monitoring improvement

The CQUIN is measured over time. Using Triscribe means clinicians spend more time on IVOS reviews and switching. Your hospital will be assessed on whether that time makes a difference.

Triscribe has a simple solution for this challenge as well. Use Antibiotics - Antibiotic Routes to see an analysis of the trend in the level of intravenous administrations. We handle all your data so it’s quick and easy for you to review progress over a year (or more!)

Annual review of IV v Oral antibiotics

As you make improvements to clinical processes, you should see improvements in these numbers. If new politics or guidance are not working, you will see that too and be able to change course in good time to meet your targets.

You can always use Triscribe to analyse the numbers more deeply. For example, by comparing the level of IV administrations across a group of wards or for a specific group of drugs.

Adults only

Let me draw your attention to one other feature. This chart includes a simple slider filter to set the age range. So with one click, you can see only the relevant data for the CQUIN (which only applies to adults, 16+).

Triscribe patient age filter

We haven’t included this filter in the Active Prescriptions list. Why not? IVOS switching matters for kids too. Clinicians wanted to look after all their patients, not just those that are included in specific performance metric. Triscribe helps you save time to deliver better care for everyone in your hospital.

Why does this matter?

“Achieving 40% (or fewer) patients still receiving IV antibiotics past the point at which they meet switching criteria.”

Like all CQUINs, there are significant financial penalties for hospitals that don’t meet this target. Even if CQUIN03 is not one of the five agreed to count towards the financial target, performance needs to be reported and the data needs to be collected and submitted for audit.

The entire system of metrics and consequences can feel like a burden, and often it is. Yet there is a clear purpose. Antimicrobial resistance is one of the biggest global health risks. Managing IV to oral switching is essential to addressing this.

Triscribe helps with the mechanics of meeting the regulatory target. At the same time, we give you the information your team needs to deliver better patient outcomes.

And we use data you already have to give you this at the touch of a button. That saves clinical time and every minute of time saved is used to improve patient care.

Find out more

We would love to work with you. Everything described in this post is already available in Triscribe. You can get Triscribe for your hospital now and we can be up and running in 4 -6 weeks.

You can buy through G-Cloud or using standard NHS contracts and information governance. Triscribe can get you better data quickly and easily without messy systems changes or integrations, complex projects or any strain on hard pressed IT and Informatics resources. Remember, this is data you have already captured through countless hours of time and friction for frontline doctors and nurses.

As a bonus, you will make life easier for every member of your team that is a Triscribe user. That hour a week adds up to an extra week of time every year.

I would love to hear from you. Send me an email or schedule a 15 minute call to find out more or share your feedback.

Thanks.