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A.3 ANTIMICROBIAL STEWARDSHIP PROGRAMME MEASUREMENT

Successful AMS programme includes all the elements of successful quality improvement
programmes and measuring the effectiveness of their activities is a key component. Monitoring
and analysis of antimicrobial usage is critical to measure the effects of stewardship
interventions in order to reduce antimicrobial resistance and to support appropriate
antimicrobial prescribing. Structural, process and outcome measures should be incorporated
into the AMS plan. All the program measurement should be reported to the local, state and
national level.

Structural Measures

It is an overview of the AMS programme in an organization at a point in time. The criteria to
measure is stated in the table below.

Table 2.

CRITERIA TO MEASURE INDICATOR

1. AMS team members a. Does your hospital have a dedicated AMS team?
b. Number of AMS Doctors / number of beds in your
hospital?
c. Number of AMS Pharmacists / number of beds in your
hospital?

2. AMS committee meeting a. Does your hospital have regular AMS committee
meeting?
b. How frequent is the meeting?

3. Antimicrobial policy a. Does your hospital have an antimicrobial policy?

4. Formulary Restriction & a. Do you practice formulary restriction &
Preauthorization preauthorization in your hospital?
b. What type of antimicrobial is being restricted?

5. Antimicrobial guidelines a. Do you have a local antimicrobial guideline in your
or clinical pathway hospital?
b. Do you have a clinical pathway in your hospital?
c. When is the latest updated version?

40 Protocol on Antimicrobial Stewardship (AMS) Programme in Healthcare Facilities | Second Edition 2022