I can also book 24/7 without having to wait until the clinic opens. If your application does not launch after clicking on its link, you can easily fix this issue by following the instructions below (note that the steps are specific to Internet Explorer and the Windows 7 operating system). Copyright © 2023 O’Sullivan, Shamseddine, Sadeq, Ali, Yousuf, Naqbi, Alakhras, Foroodi, Jabeen, Nsutebu, Hantouche, Everett, Babiker and the Antimicrobial Stewardship Study Group. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY).
Figure 1 Timeline representing Firstline™ approval, implementation, and evaluation, Sheikh Shakhbout Medical City in partnership with Mayo Clinic, Abu Dhabi, United Arab Emirates. The message window is ridiculously small when typing or dictating a message – and screen space is obviously available for them to fix the problem. It’s unpleasant sending and receiving messages with so little space to type and edit. SmartAffiliate empowers brokers to customize unique marketing strategies for successful business scaling and growth. One of the key advantages of our system is the comprehensive evaluation of your partners’ effectiveness. SmartAffiliate allows you to analyze each partner’s contribution to the overall business profit, receive regular reports on customer interactions, and access statistics on registrations for every campaign.
Features
IT interventions have been shown to improve the appropriateness of antimicrobial prescribing but had no impact on the length of hospital stay or mortality, indicating the need for more sophisticated tools and studies in this domain (12–14). In 2015, the health authorities in the United Arab Emirates (UAE) launched an initiative to combat AMR that paved the way for forming the Higher Committee for AMR. The latter encompasses a network of clinical microbiology laboratories providing diagnostic and surveillance services from all regions and facilities across the country. Recent UAE AMR surveillance data, presented as detailed cumulative antibiograms and annual trends for several AMR priority pathogens, highlight the urgent need to curb AMR (3). Take advantage of many of the tools inherent to mobile devices to manage your time even more effectively, including GPS mapping, email communications, photo capturing and voice recognition for creating notes and activities verbally.
Furthermore, the advent of internet-connected digital devices enabled mobile applications (apps) to be utilized using smartphones, tablet computers, and smartwatches. Furthermore, apps offer several other advantages, which include frequently affiliate mobile app updated content, quick start-up time, computerized decision support and administration rights to inform users of updates and new features. In 2017, over 318,000 mobile health (mHealth) apps were available in app stores (17–19).
Planning, selection, and implementation
Start AMS and you will be presented with the Authentication Screen where you will need to enter the user name and password supplied by the organisation running the AMS apps. If you are provided with the option to “Allow for this installation only”, then we recommend you select this. If you don’t, or it doesn’t appear as an option, then we highly recommend you go back into Settings once the application installation is complete and turn off “Unknown Sources”. To do this, go to “Settings” on your device and unselect “Unknown Sources”’.
Intranet access required a series of steps, including a slow log-in process, which was a deterrent to clinicians under pressure to find and use the most relevant guideline. Furthermore, hard copies of an abbreviated version of the guidelines, including treatment recommendations for common infections, were also made available as quick-reference cards to prescribers working in busy emergency and ambulatory care settings in SSMC. Over time, updating and disseminating these “antibiotic cards” to clinicians and new staff became costly, impractical, and labor-intensive. Figures 4A–C are Firstline™-generated plots of guidelines, pathogens, and antimicrobial viewings according to active users’ roles. Overall, COVID-19 was the most frequently viewed guideline in Q1; Escherichia coli and Pseudomonas aeruginosa were the top-viewed pathogens; and Amoxicillin-Clavulanate, Ciprofloxacin, Nitrofurantoin, and Flucloxacillin monographs were the most frequently accessed.
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Our experience has been highly encouraging for our hospital-based AMS program, which is needed to combat the menace of an ever-increasing AMR burden. Further research is needed to evaluate the impact of apps on prescriber behavior and the key performance indicators of antimicrobial stewardship. In January 2021, the AMS program at SSMC teamed with a physician champion group from the internal medicine division to enhance access and https://www.xcritical.com/ utilization of antimicrobial guidelines. Following presentations to relevant hospital committees, a decision was made to pursue the introduction of a mobile application platform, and an options appraisal exercise was started to select the most suitable platform after securing the green light from SSMC leadership. A timeline of the different stages leading up to Firstline™ implementation and evaluation is represented in Figure 1.
- As per the human resources department data, SSMC had 224 consultants, 197 specialists, 28 fellows, 100 residents, 50 interns, and 140 pharmacists at the time of writing this manuscript.
- If you are able to get your colleagues to adopt this as well you are able to send pages back and forth like text messages.
- It is premature to conclude whether this high uptake and viewings would translate into better antimicrobial prescribing by residents.
- All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers.
- (F) Ten of the most frequently viewed antimicrobial monographs replotted per active user, January-March 2022, Sheikh Shakhbout Medical City in partnership with Mayo Clinic, Abu Dhabi, United Arab Emirates.
- AMS works on most recent Android phones and tablets, and specifically it works on devices supporting Android 6.0+.
Nonetheless, the data remains valuable to assess the success of implementation, and it can inform further AMS quality improvement initiatives. Usage statistics provided helpful utilization metrics to SSMC’s AMS team and gave reassurances that antimicrobial prescribers are reading antimicrobial guidelines, antibiograms, and antimicrobial monographs. Furthermore, sharing detailed antimicrobial monographs in an easily accessible format may help reduce antimicrobial prescribing errors made by high-volume prescribers such as junior physicians (27–29). Although Firstline™ provided our junior doctors with up-to-date and readily accessible guidelines and decision support tools, the app’s uptake among our junior doctors was variable, with the residents outperforming the interns and the fellows. It is premature to conclude whether this high uptake and viewings would translate into better antimicrobial prescribing by residents.