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Table 1 Verification of selected indications

From: A mandatory indication-registration tool in hospital electronic medical records enabling systematic evaluation and benchmarking of the quality of antimicrobial use: a feasibility study

Samples

Hospital A (inaccurate selections/number of screened records)

Hospital B (inaccurate selections/number of screened records)

Hospital C (inaccurate selections/number of screened records)

RTI—error rate (%)

4/100 (4%)

7/70 (10%)

17/99a (17%)

Selected indication versus documented diagnosis

1 prophylaxis ↔ HAP

3 CAP-m ↔ COPD

4 CAP ↔ other

 

1 CAP ↔ COPD

1 CAP-s ↔ CAP-m

1 CAP-m ↔ COPD

 

1 CAP ↔ bronchitis

2 COPD ↔ CAP-m

1 Bronchitis ↔ COPD

 

1 other ↔ skin and soft tissue infections

1 aspiration pneumonia ↔ CAP-s

1 Bronchitis ↔ CAP

   

3 CAP ↔ aspiration pneumonia

   

3 HAP ↔ other

   

1 CAP-s ↔ CAP-m

   

2 CAP-m ↔ HAP

   

1 CAP-m ↔ prophylaxis

UTI—error rate (%)

6/100 (6%)

39/73 (53%)

20/99a (20%)

Selected indication versus documented diagnosis

5 cystitis ↔ complicated UTI

37 cystitis ↔ complicated UTI

20 cystitis ↔ complicated UTI

 

1 prophylaxis ↔ cystitis

1 chronic prostatitis ↔ urosepsis

 
  

1 other ↔ urosepsis

 

Randomb—error rate (%)

0/100 (0%)

7/100 (7%)

2/100 (2%)

  

4 missed UTI

1 missed UTI

  

3 missed RTI

1 missed RTI

Total error rate (%)

3.3%

21.8%

13.1%

  1. CAP-m community-acquired pneumonia—mild to moderate severe, CAP-s community-acquired pneumonia—severe
  2. a1 record could not be validated, because documentation regarding the indication of antibiotic treatment was missing/not accessible
  3. bRandom samples, other than RTI/UTI