Team Learning Packs · Infectious diseases · Quality use of medicines

Antimicrobial stewardship across the practice team

Antimicrobial stewardship is a whole-of-practice responsibility. Prescribers complete the AMS module; the team then audits practice prescribing patterns and agrees a one-month behaviour-change experiment using delayed-prescription protocols, patient handouts, or red-flag checklists.

Individual learning by role.

Each clinical team member completes their profession's module before the team huddle. Where a role has no profession- specific module yet, that member joins the huddle and contributes from their discipline.

  • GP (RACGP / ACRRM)

    antimicrobial stewardship

    Full prescribing-focused module; pair with the antibiotics-URTI self-audit benchmark.

  • Registered nurse / Midwife

    antimicrobial stewardship

    Same module — covers the team's role in triage, patient education, and audit.

  • Pharmacist

    antimicrobial stewardship

    Module covers community-pharmacist role; pair with deprescribing benchmarks where relevant.

  • Physiotherapist

    Huddle-only role

    No profession-specific module — join the huddle and contribute on referrals to GP for infection assessment and on infection-control practice in physio settings.

  • Psychologist

    Huddle-only role

    No profession-specific module — join the huddle for the practice-wide implementation discussion.

Antimicrobial stewardship implementation huddle

Duration: 60 minutes. One person chairs (typically the practice administrator). No slides required — the agenda below is the structure.

Agenda

  1. 0-10 min

    Share self-audit results: each prescriber reports their estimated antibiotic-prescribing rate for URTI from the benchmarks tool. No judgement — these are starting points.

  2. 10-25 min

    Identify the two or three patient scenarios where the practice over-prescribes (often: green sputum acute bronchitis, parental pressure for paediatric URTI, returning travellers).

  3. 25-45 min

    Discuss specific behavioural tools: delayed-prescription protocol, patient handouts, red-flag checklists, deferral language scripts. Agree on one or two to trial.

  4. 45-60 min

    Implementation planning: who, what, when. Set a re-audit date in 8 weeks.

Discussion prompts

  • What's the most common 'just-in-case' antibiotic prescription in this practice, and what would replace it?
  • Where do patient expectations most strongly drive antibiotic prescriptions, and how do we hold the line without damaging the therapeutic relationship?
  • How do we communicate antibiotic decisions to reception and nursing staff so the team's response is consistent?
  • Are there specific demographic groups (children, the elderly, Aboriginal and Torres Strait Islander patients) where our prescribing pattern deserves separate consideration?

Implementation actions

A starter list. Pick one or two to trial in the next four weeks.

  • Adopt a delayed-prescription protocol for uncomplicated URTI in the next 4 weeks.
  • Print and distribute a patient handout on viral URTI for the waiting room.
  • Schedule a re-audit of antibiotic prescribing rate in 8 weeks using the benchmarks tool.
  • Block 20 minutes in the next clinical meeting to discuss any prescribing decisions team members found difficult.

CPD eligibility

The huddle and follow-up audit count as Reviewing Performance and Measuring Outcomes hours for each clinical participant under self-attestation. Suggested logging: 1.0 hour RP for the huddle + 0.5 hour MO for the re-audit, in addition to the module hours.

Run this pack with your team.

The pack itself is free to use — no PracticaCPD subscription required to view the huddle template, run the meeting, or log the result manually. Pro / Practice subscriptions unlock the modules and the team-progress dashboard.