Introduction of a mobile application platform as a decision support tool to enhance antimicrobial stewardship: an experience from the United Arab Emirates

United Arab Emirates surveillance of antimicrobial resistance annual report 2019. You’ll never realize how freeing it is not to have to carry around an obsolete physical pager. 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. Give it a shot, you won’t want to go back to the old pager after trying. If you do not have access to certain features, they will be hidden from your view. The new version of Vertafore Mobile (now renamed AMS360 Mobile), will utilize existing AMS360 functionality, with a focus on providing an enhanced mobile experience.

AMS mobile application

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 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.

T-Mobile users say other people’s account information is appearing in their app

Although the number of web sessions and page views can be captured, the number of users cannot be accurately determined as the web version can be accessed on shared computers without a unique sign-in requirement for each user. The ability to view and analyze usage statistics and directly communicate with users gives the AMS team considerable opportunities to ramp up interventions at a scale that is impossible with paper-based guides or traditional intranet-hosted versions. Furthermore, embedding the app training into SSMC’s induction sessions for new joiners and the teaching program for junior doctors provides excellent opportunities for engaging prescribers with AMS initiatives.

AMS mobile application

As SSMC staff voluntarily identified their role and location when they signed up for the Firstline™ app, it was possible to assess the app’s uptake among physicians and pharmacists. 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. Figure 3B provides an overview of the app’s active use by clinical role (specifically pharmacist, intern, resident, fellow, specialist and consultant) during Q and shows that the residents were by far the most frequent active users (89%, 89/100), followed by the pharmacists (77%,108/140). Overall, the uptake over Q among pharmacists and physicians was 52% (381/739). Antimicrobial guidelines based on local antimicrobial resistance patterns have been published and hosted on SSMC’s intranet. However, many obstacles impeded access to and utilization of these guidelines.

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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 affiliate mobile app 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.

  • (D) Ten of the most frequently viewed guidelines replotted per active user, January-March 2022, Sheikh Shakhbout Medical City in partnership with Mayo Clinic, Abu Dhabi, United Arab Emirates.
  • AMSConnect provides the same level of secure communication and redundancy which hospital and emergency service providers rely on every day.
  • The developer, Vertafore Inc., indicated that the app’s privacy practices may include handling of data as described below.
  • 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).
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  • SSMC provides a broad range of general and specialist medical, surgical, and critical care services.

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.

Health & Safety at the Annual

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”’.

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.