EASIL Tools Line List Template

Data organization is key to effective prescription start measurement. EASIL has developed a line list template to help your facility begin the data collection and organization process, ensuring the most important measures are included and recorded appropriately.

Antibiotic Use

Several important metrics exist for understanding the amount of antibiotics in use in your facility.

Prevalence Studies

These can be used to understand how much medication is being used at any given time, for example, on a certain day or over the course of a week or month. 

Rate of Antibiotic Starts

Rate calculations can provide more information about how antibiotic prescribing is changing over time. 

Days of Therapy (DOT)

A central aspect of the antibiotic stewardship program is to reduce the unnecessary use of antibiotics. Likewise, it will probably be a goal at your facility to decrease the facility-wide antibiotic utilization ration (AUR), which is the ratio of DOT to total resident-days.

Patient Outcomes

These are some outcomes that you can track to help improve important patient safety metrics.

Tracking C. difficile and antibiotic resistence

The National Healthcare Safety Network (NHSN) in 2012 lauched the reporting component for nursing homes and LTCFs. Laboratory-based surviellance through NHSN of MRSA, E. coli, and others can serve as a proxy for infections. 

Adverse Drug Events

Antibiotics can often have substantial, sometimes life-threatening side effects. Given that medications are responsible for a high proportion of preventable harm in nursing homes, and that antibiotics are the most commonly used medications in these patients, measuring and responding to adverse events is crutial to improving patient safety. 

Financial Impact

Stewardship practices can both improve patient saftey and reduce costs for uneccesary medication and costs related to infection control and outbreak response. Measuring the return-on-investment (ROI) of preventative measures can help to justify stewardship resource allocation in the future.

Core Elements of Antibiotic Stewardship for Nursing Homes Appendix B.

For more details on how to develop stewardship tracking mechanisms, check out Appendix B. Measures of Antibiotic Prescibing, Use and Outcomes from the CDC's Core Elements guidelines.