A COMPARATIVE STUDY OF ANTIBIOTIC CONSUMPTION BEFORE AND AFTER THE IMPLEMENTATION OF THE HAKEEM SYSTEM AT PRINCE ZAID BIN AL HUSSEIN MILITARY HOSPITAL

Malik Ahed Abdelaziz Al Hyari P. H., Rami Mahmoud Ali Al lawama, P. H., Mays Mahmoud Gassab Alr awashdeh P. H., Rashed Mohammad Ahmad Bin Tareef D. M., Roaa Abd Al Kareem Al Badaienh, P. H., Mohammad Esmail Albdairat P. H.

ABSTRACT

Introduction: Electronic health systems have received a lot of attention as effective instruments for improving the quality and safety of healthcare delivery, such systems provide for real time access to patient da ta, and evidence based clinical de cision making. Hakeem Jordan's national electronic health record system was put into place as part of broader drive to improve clinical efficiency. that’s may reduce the use of antibiotics. So, we aimed to evaluate the effect of the Hakeem system on patien ts’ antibiotic utilization at Prince Zaid bin Al Hussein Military Hospital. Methods : A retrospective comparative study was conducted, Data was collected for two equivalent four months periods: before and after the implementation of the Hakeem system (16 June, 2025). Two independent pharmacists examined all patients' antibiotic dispensing data throughout the pre implementation phase using the pharmacy ledger records.it was cross checked with available patient files, prescriptions, and inpatient medication administration charts, To make sure the data was accurate. Antibiotic dispensing information was taken from the "Hakeem" electronic health record system during the post implementation period. To ensure its accuracy and consistency, this data was cross chec ked against the pharmacy ledger records and transaction database. Before analysis, data cleaning was done to eliminate errors or missing values. In case of a disagreement between the two pharmacists regarding a specific piece of information, the point of d isagreement was recorded and escalated to the head of the research team. The team lead then referred to the primary records to determine the correct value. Results : There was an overall reduction in total penicillin consumption by 925 units after implement ing the Hakeem system, the decrease was statistically significant for most individual drugs, indicating a broad impact on cephalosporin prescribing, A significant and substantial decrease in the use of Levofloxacin and statistically significant reduction a cross all drugs in macrolide class, particularly for Azithromycin (Zithromax) and We found small but statistically significant decrease in Lincomycin use. Conclusion : The Hakeem system has had a positive, and statistically significant impact on antibiotic prescribing patterns in the hospital. The significant reductions in broad spectrum antibiotics provide strong evidence that the system has successfully promoted more rational antibiotic use.

Keywords: : Antibiotic consumption, Hakeem system, electronic heal th records, retrospective study, antimicrobial resistance, Jordan.