Gentamicin is the seventh most commonly used antibiotic in Irish hospitals, given to approximately 15,000 patients per annum.
It is a potentially life-saving drug, used to treat Gram-negative infections in some of the sickest patients in our hospitals.
However Gentamicin has a narrow therapeutic index. This means that there is only a small difference between optimal and toxic dosing.
Failure to achieve optimal dosing can lead to increased patient morbidity and mortality, and increased resistance. Overdosage can cause temporary or permanent kidney damage, loss of hearing or balance disturbance.
As part of the National Quality Improvement Programme, this project aims to improve Gentamicin usage within hospitals across Ireland. So far the group has published a Gentamicin Improvement Guide and is in the process of publishing guidelines for Gentamicin usage.
If you are interested in joining this project come to our next meeting on 27 September 2016 at 4:30pm.
To RSVP, please contact us at the contact details listed below.
Developed by frontline clinicians, support staff and national quality improvement experts, the guide is essentially an aid to direct hospitals through the process of improving the quality of prescribing and usage of Gentamicin.
It covers all stages of the quality improvement journey:
This improvement guide will aid you through the process of improving the quality of prescribing and usage of Gentamicin.
It provides a visual representation of your project, clearly defining the aim, primary drivers and secondary drivers. The aim is devised using the SMART aim template.
A runchart is a process analysis tool. It is a graph of data over time which enables you to see patterns and whether improvements are happening.
A SMART aim statement is an explicit statement which describes what a successful project is expected to achieve. ‘SMART’ is an acronym for Specific, Measurable, Applicable, Realistic, and Timely.
A stakeholder map is a project management tool that helps to identify all of the stakeholders involved in or impacted by a project and sorts them according to their impact on the project and the impact of the project on them.
It should be noted that this guide relies on appropriate patient selection. Careful consideration of the potential risks and benefits should occur for every patient. This risk assessment should continue throughout therapy.
Anyone using the Gentamicin Improvement Guide is invited to attend or dial into our quarterly meetings. At these meetings teams who are using the guide discuss their progress and can get additional advice on improvement.
The next meeting is on Tuesday 27 September 2016 at 4:30pm. Please contact Vicky Taylor to confirm your attendance.
Victoria is the Quality Executive and works on many of our Quality Improvement Programmes. Contact Victoria for more information on any of our healthcare quality improvement programmes.





