Theme Findings consistent across sites Findings consistent across sites Findings different across sites Findings different across sites
Hospital A Hospital B
The AMS team
The AMS team
AMS team included ID and microbiology doctors and an AMS pharmacist All ID and microbiology consultants (n=6) were part of the AMS team The AMS team was led by 3 of the 9 ID consultants at the hospital
Relationships in the AMS team
Relationships in the AMS team
Junior AMS team members reported feeling well supported by senior staff on AMS team
Interdepartmental relationships
Interdepartmental relationships
Good relationships between the AMS team and prescribers were perceived to be vital for a successful AMS program Reported challenges: Prescribers not taking the advice of the AMS team Prescribers more likely to take AMS recommendations from an ID/microbiology consultant than an advanced trainee or pharmacist Providing antimicrobial advice to junior doctors Reported Good interdepartmental relationships Reported Lack of support from senior staff in other departments. High levels of prescriber autonomy
Executive support
Executive support
Reported AMS is highly supported Reported AMS inadequately supported historically
AMS Policy
AMS Policy
AMS policy AMS Committee Reported Prescribers are less aware of policy Policy enforcement is less vigorous
Staff employment
Staff employment
Perceived the rotational nature of prescribers’ employment made the delivery of successful AMS programs difficult Reported A shortage of ward pharmacists