Table 5 ePAMS+ design changes in response to feasibility trial findings
Feasibility trial ePAMS+  | Future ePAMS+ design |
|---|---|
TECHNICAL COMPONENTS | |
 ePAMS+ optional | ePAMS+ compulsory |
 Antibiotic order through Requests and Care Plans | Antibiotic order to appear on new Medications list |
 Not included | Supporting orders included e.g. cultures |
 Not included | Hyperlink to guidelines |
 Not included (single antibiotics only) | Include most common antibiotic protocols/order sets including antibiotic combinations |
 Not included | Hyperlink to revised training |
 Antibiotic review | Antibiotic review more accessible |
Not included – (pop-up reminder for review [lockdown] due to safety concerns) | |
 Not included | Adult discharge / outpatient ePAMS+  |
 Not included | Paediatric inpatient ePAMS+  |
 Not included | Paediatric discharge / outpatient ePAMS+  |
 Not included | Hide antibiotic orders on non-ePAMS+ Medications list |
 Not included | Text box for antibiotic review narrative |
NON-TECHNICAL ELEMENTS | |
 Not included | Project manager and trainers / floor walkers |
 Online training | Online AMS training |
 Ad hoc training | Face to face training compulsory |
 Not included (competing priorities) | Patient Information Leaflet |
 Not included (competing priorities) | Clinical discussion groups |
 Ad hoc engagement / launch plan | Formal engagement / launch plan |