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Healthcare Associated Infections

Hospital Antibiotic Review Programme (HARP)

The Hospital Antimicrobial Review Programme (HARP) aims to support the national antimicrobial stewardship agenda and the growing threat of antimicrobial resistance by focusing and improving practice relating to two key areas of antibiotic prescribing practice in hospitals; the day 3 review of IV antibiotics and documentation of duration of oral antibiotic therapy. The programme contains practical tools and ideas for quality improvement underpinned by educational resources. 

HARP is a collaborative development between the Scottish Antimicrobial Prescribing Group (SAPG) and NES and development has been undertaken by a multidisciplinary reference group with clinical education representation. 

Support Pack 

The support pack provides information on the sessions available, the resources required to deliver each of the sessions, tips on how to support facilitation of the practical sessions in practice and information on CPD certification and evaluation.

Download the support pack

Awareness Video 

HARP includes a short on-line awareness video to engage staff in the programme. 

Vimeo link


HARP includes educational materials to support delivery of two short facilitated learning sessions for clinical teams, each lasting 20-30 minutes. These sessions can also be utilised for on-line personal learning, but a team-based approach is preferable.  

Session 1: Making the case for change  

In order to improve antibiotic use we must develop reliable ward processes for review of IV antibiotics and documentation of the plan in the notes, documentation of recommended duration of oral antibiotics on medicine chart. We can do this using a quality improvement approach  

Session 2: Supporting local quality improvement 

a-Quality improvement methodology 

b-Practical tools and examples from practice 

Slides for team based faciliated sessions 

Further resource and Audit tools

To support local clinical teams testing ideas for improvement there is a Quality improvement toolkit which includes good practice aids, change ideas and audit tools.

Evaluation Surveys 

Please complete every time you deliver or participate in a session to help us to assess uptake and impact. 

Audit Tools 

There are various tools to support teams to undertake the Hospital Antibiotic Reduction programme available on the SAPG website