Antibiotic Prescribing in ED We are aiming to understand more about antibiotic prescribing in the ED. There are seven (7) questions which should take <5 min to complete. Q1. What is your role in ED?
○Intern ○Junior House Officer (Resident, PGY2) ○Senior House Officer (Resident, PGY3 or above) ○Principal House Officer (Unaccredited registrar) ○ED Registrar ○Consultant ○Nurse practitioner ○Other (please state…………………………….)
In your most recent experience with antibiotic prescribing during the shift on the following date: __________________ Q2. What antibiotic was prescribed? Antibiotic Type __________________________________ Antibiotic Dose __________________________________ Antibiotic Frequency ______________________________ Q3. What condition were antibiotics prescribed for? (i.e., working diagnosis: UTI, febrile neutropenia) ___________________________________________________ Q4. Did you make the decision to prescribe?
○Yes ○No
Q5. If No, then who made the decision? (indicate level of training and speciality)
Level of Training ○Intern ○JHO ○SHO ○Registrar ○Consultant	Speciality ○ED ○General Medical ○General Surgical ○ICU ○Other________________
Q6. For your most recent experience, which of the following were used to decide on antibiotic selection? (tick all which apply)? O Electronic Therapeutic Guidelines (eTG) O Other guidelines (please specify _________________________) O ED consultant recommendation (please specify if in person or vs phone call) O Infectious disease recommendation please specify if registrar or consultant please specify if in person or phone call please specify if you talked to ID, or someone else; if so, who _____________ O Microbiology recommendation please specify if registrar or consultant please specify if in person or phone call please specify if you talked to ID, or someone else; if so, who _____________ O Other recommendation (please specify ___________________________) O I don’t know Q7. At time of pre-scribing, how con-fident were you on a scale of 1-5 that antibiotics were in-dicated? (please circle) Q8. At the time of prescribing, how confident were you on a scale of 1-5 that an appropriate antibiotic was prescribed? (please circle) Thank you for participating!