- Mureyi D, Cresswell K, Sivyer K, Heed A, Weir CJ, Adamestam I, et al. The development of a complex digital and behavioural Antimicrobial Stewardship intervention for hospitals in England. BMC Med Inform Decis Mak 2024. 10.21203/rs.3.rs-3715230/v1
- Ladenheim D, Cramp E, Patel N. Are current electronic prescribing systems facilitating antimicrobial stewardship in acute National Health Service Hospital Trusts in the East of England? J Hosp Infect 2016;94:200–1. 10.1016/j.jhin.2016.07.01727575656
- Madar IK, Coleman JJ, Slee A, Pontefract SK. Do electronic prescribing systems in English hospitals support antimicrobial stewardship? An analysis of ‘Start Smart–Then Focus’ functionality. Clin Ther 2017;39:e4. 10.1016/j.clinthera.2017.05.016
- Santillo M, Sivyer K, Krusche A, Mowbray F, Jones N, Peto TE, et al. Intervention planning for Antibiotic Review Kit (ARK): a digital and behavioural intervention to safely review and reduce antibiotic prescriptions in acute and general medicine. J Antimicrob Chemother 2019;74:3362–70. 10.1093/jac/dkz33331430366
- Powers EM, Shiffman RN, Melnick ER, Hickner A, Sharifi M. Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. J Am Med Inform Assoc 2018;25:1556–66. 10.1093/jamia/ocy11230239810
- Tolley C. An Investigation of Healthcare Professionals’ Experiences of Training and Using Electronic Prescribing Systems: Four Literature Reviews and Two Qualitative Studies Undertaken in the UK Hospital Context [dissertation]. Durham: Durham University; 2018.
- McCain CL. The right mix to support electronic medical record training: classroom computer-based training and blended learning. J Nurses Staff Dev 2008;24:151–4. 10.1097/01.NND.0000320673.65824.db18685473
- Brown CL, Reygate K, Slee A, Coleman JJ, Pontefract SK, Bates DW, et al. A literature review of the training offered to qualified prescribers to use electronic prescribing systems: why is it so important? Int J Pharm Pract 2017;25:195–202. 10.1111/ijpp.1229627488258
- Ruiz JG, Mintzer MJ, Leipzig RM. The impact of e-learning in medical education. Acad Med 2006;81:207–12. 10.1097/00001888-200603000-0000216501260
- Coxeter P, Del Mar CB, McGregor L, Beller EM, Hoffmann TC. Interventions to facilitate shared decision making to address antibiotic use for acute respiratory infections in primary care. Cochrane Database Syst Rev 2015;2015:CD010907. 10.1002/14651858.CD010907.pub2
- Mowbray F, Sivyer K, Santillo M, Jones N, Peto TE, Walker AS, et al. Patient engagement with antibiotic messaging in secondary care: a qualitative feasibility study of the ‘review and revise’ experience. Pilot Feasibility Stud 2020;6:43. 10.1186/s40814-020-00590-532280483
- Butler CC, Kinnersley P, Prout H, Rollnick S, Edwards A, Elwyn G. Antibiotics and shared decision-making in primary care. J Antimicrob Chemother 2001;48:435–40. 10.1093/jac/48.3.43511533013
- Meyers DC, Durlak JA, Wandersman A. The quality implementation framework: a synthesis of critical steps in the implementation process. Am J Community Psychol 2012;50:462–80. 10.1007/s10464-012-9522-x22644083
- World Health Organization. Global Antimicrobial Resistance and Use Surveillance System (GLASS) Report: 2021. Geneva: World Health Organization; 2021. URL: www.who.int/publications/i/item/9789240036345 (accessed 15 October 2025).
- World Health Organization. Global Action Plan on Antimicrobial Resistance. Geneva: World Health Organization; 2015. URL: www.who.int/publications/i/item/9789241509763 (accessed 15 October 2025).
- O’Neill J. Antimicrobial Resistance: Tackling a Crisis for the Health and Wealth of Nations. London: Review on Antimicrobial Resistance; 2014. URL: https://amr-review.org/sites/default/files/AMR%20Review%20Paper%20-%20Tackling%20a%20crisis%20for%20the%20health%20and%20wealth%20of%20nations_1.pdf (accessed 15 October 2025).
- Goossens H, Ferech M, Vander Stichele R, Elseviers M; ESAC Project Group. Outpatient antibiotic use in Europe and association with resistance: a cross-national database study. Lancet 2005;365:579–87. 10.1016/S0140-6736(05)17907-015708101
- Cresswell K, Hinder S, Sheikh A, Pontefract S, Watson NW, Price D, et al. ePrescribing-based antimicrobial stewardship practices in an English National Health Service Hospital: qualitative interview study among medical prescribers and pharmacists. JMIR Form Res 2023;7:e37863. 10.2196/3786337279044
- Ashiru-Oredope D, Sharland M, Charani E, McNulty C, Cooke J; ARHAI Antimicrobial Stewardship Group. Improving the quality of antibiotic prescribing in the NHS by developing a new antimicrobial stewardship programme: Start Smart—Then Focus. J Antimicrob Chemother 2012;67:i51–63. 10.1093/jac/dks20222855879
- NHS England. Commissioning for Quality and Innovation (CQUIN) Guidance for 2017–2019. London: NHS England; 2018. URL: www.england.nhs.uk/publication/commissioning-for-quality-and-innovation-cquin-guidance-for-2017-2019/ (accessed 15 October 2025).
- National Institute for Health and Care Excellence. Antimicrobial Stewardship: Systems and Processes for Effective Antimicrobial Medicine Use. London: NICE; 2015. URL: www.nice.org.uk/guidance/ng15 (accessed 15 October 2025).
- Weir CJ, Adamestam I, Sharp R, Ennis H, Heed A, Williams R, et al. A complex ePrescribing-based AntiMicrobial Stewardship (ePAMS+) intervention for hospitals combining technological and behavioural components: protocol for a feasibility trial. Pilot Feasibility Stud 2023;9:18. 10.1186/s40814-022-01230-w36709308
- UK Health Security Agency. English Surveillance Programme for Antimicrobial Utilisation and Resistance (ESPAUR): Report 2020 to 2021. London: UKHSA; 2021. URL: www.gov.uk/government/publications/english-surveillance-programme-antimicrobial-utilisation-and-resistance-espaur-report (accessed 15 October 2025).
- ESPAUR SSTF Implementation Subgroup. Start Smart – Then Focus: Antimicrobial Stewardship Toolkit for English Hospitals. London: Public Health England; 2015. URL: www.gov.uk/government/publications/antimicrobial-stewardship-start-smart-then-focus/start-smart-then-focus-antimicrobial-stewardship-toolkit-for-inpatient-care-settings (accessed 15 October 2025).
- Copas AJ, Dwan KM, Kirkham JJ, Williamson PR. A model-based correction for outcome reporting bias in meta-analysis. Biostatistics 2014;15:370–83. 10.1093/biostatistics/kxt04624215031
- Girling AJ, Hemming K. Statistical efficiency and optimal design for stepped cluster randomized trials. Stat Med 2016;15:2149–66. 10.1002/sim.6850
- Wang J, Dong M, Lu Y, Zhao X, Li X, Wen A. Impact of pharmacist interventions on rational prophylactic antibiotic use and cost saving in elective cesarean section. Int J Clin Pharmacol Ther 2015;53:605–15. 10.5414/CP20233426104036
- van Daalen FV, Opmeer BC, Prins JM, Geerlings SE, Hulscher M. The economic evaluation of an antibiotic checklist as antimicrobial stewardship intervention. J Antimicrob Chemother 2017;72:3213–21. 10.1093/jac/dkx25928981722
- Okumura LM, Riveros BS, Gomes-da-Silva MM, Veroneze I. A cost-effectiveness analysis of two different antimicrobial stewardship programs. Braz J Infect Dis 2016;20:255–61. 10.1016/j.bjid.2016.02.00527094234
- Slayton RB, Scott RD, Baggs J, Lessa FC, McDonald LC, Jernigan JA. The cost-benefit of federal investment in preventing Clostridium difficile infections through the use of a multifaceted infection control and antimicrobial stewardship program. Infect Control Hosp Epidemiol 2015;36:681–7. 10.1017/ice.2015.4325783204
- Zhou X, Gong J, Su D, Wu Z, Jia X, Wang Y, et al. Effect of pharmacist intervention on antibiotic prophylaxis in orthopedic internal fixation: a retrospective study. Res Social Adm Pharm 2023;19:301–7. 10.1016/j.sapharm.2022.10.00236266174
- Gebretekle GB, Mariam DH, Mac S, Abebe W, Alemayehu T, Degu WA, et al. Cost-utility analysis of antimicrobial stewardship programme at a tertiary teaching hospital in Ethiopia. BMJ Open 2021;11:e047515. 10.1136/bmjopen-2020-047515
- UK Government. Antimicrobial Resistance (AMR). 2025. URL: www.gov.uk/government/collections/antimicrobial-resistance-amr-information-and-resources (accessed 25 September 2025).
Development and evaluation of a complex ePrescribing-based Antimicrobial Stewardship (ePAMS+) intervention for hospitals: a mixed method study · References
References
Attribution. Aziz Sheikh; Jamie Coleman; Antony Chuter; Jillian Beggs; Richard Lilford; Ann Slee et al. (2026). Development and evaluation of a complex ePrescribing-based Antimicrobial Stewardship (ePAMS+) intervention for hospitals: a mixed method study. National Institute for Health and Care Research. Copyright © 2026 Sheikh et al. Licensed under CC BY 4.0. NCBI Bookshelf NBK623660. CC BY 4.0. Original source ↗. Text reproduced from the Bookshelf XML without changing wording; figures, images and supplements are not reproduced.