Firstline

Firstline

Guidelines now available

Firstline

Firstline

Getting Started

1. Tap the above "Download" button on your phone to install.

2. Select "Browse Guidance" and then choose "NLCHI"

Note: For desktop access, you should use a modern web-browser such as Microsoft Edge, Safari, Google Chrome or Firefox.

“Excellent! All health professionals should have Firstline in their repertoire!”

From Eastern Health Survey

DDD

Antimicrobial Usage

Eastern Health saw an overall downward trend in total antimicrobial usage (DDD/1000 patient days), particularly among piperacillin-tazobactam, fluoroquinolone and carbapenem use. As a result, regional inpatient antimicrobial expenditures decreased by $111,296 over the initial six months. At an annualized rate, Eastern Health saw antimicrobial cost savingsof $258/bed across 6 hospitals.

“We estimate that during this observation period, this reduced rate in antimicrobial usage corresponded to a savings of 10 CDI cases avoided.”

Gerald McDonald, Eastern Health

Prescribing Appropriateness

Antimicrobial Prescribing Appropriateness

Implementation of Firstline in 2019 improved the overall appropriateness of prescribing. Eastern Health also observed a trend toward decreasing CDI incidences throughout the observation period.

App
  usage by role

App Usage

Following the live launch of Firstline on February 1st, 2019 in correspondence with a story released on CBC there was a large uptake of users followed by a stable active user base of 500-650 per month. This trend has continued into 2020. Active users were composed of a wide range of healthcare professionals.

CBC News Article