Using formative evaluation to improve uptake of a web-based tool to support antimicrobial stewardship.
What is known and objective Web-based decision support tools have rationalized prescribing of antimicrobials in healthcare settings. Clinicians' acceptance of decision support tools is one of the important factors that determine successful implementation of such tools. This study evaluated the impac...
| Publicado en: | Journal of Clinical Pharmacy & Therapeutics Vol. 38; no. 6; pp. 490 - 498 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104150455&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104150455 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02694727 EV4 jtl: Journal of Clinical Pharmacy & Therapeutics issn: 02694727 maglogo: Y pubinfo: dt: Dec2013 vid: 38 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 104150455 91673868 10.1111/jcpt.12093 NLM23992301 104150455 ppf: 490 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Using formative evaluation to improve uptake of a web-based tool to support antimicrobial stewardship. aug: au: Zaidi, S. T. R. Thursky, K. A. affil: School of Pharmacy, University of Tasmania sug: subj: Antiinfective Agents Administration and Dosage Attitude of Health Personnel Decision Support Systems, Clinical Computers and Computerization Human Semi-Structured Interview Qualitative Studies Physicians Pharmacists Data Analysis Software Audiorecording T-Tests Thematic Analysis Descriptive Statistics Pretest-Posttest Design Feedback Australia ab: What is known and objective Web-based decision support tools have rationalized prescribing of antimicrobials in healthcare settings. Clinicians' acceptance of decision support tools is one of the important factors that determine successful implementation of such tools. This study evaluated the impact of a formative evaluation on the uptake of a web-based antibiotic computerized decision support system ( CDSS) by clinicians at a university teaching hospital. Methods Semi-structured qualitative interviews were conducted with junior and senior doctors and pharmacists. Interviews were transcribed verbatim and reviewed to identify barriers surrounding clinicians' use of the antibiotic CDSS. Recommendations were made to the development team of the studied system regarding system modifications and the implementation strategy. An automated log of the clinicians' use of antibiotic CDSS was generated before and after the formative evaluation. Results Interviews of 42 clinicians identified several barriers related to contents and implementation strategy of the antibiotic CDSS. Important differences were observed between senior and junior doctors about various aspects of the antibiotic restriction strategy and applicability of antibiotic CDSS in specialized clinical areas. Recommendations from the formative evaluation study resulted in significant modifications to the contents and implementation strategy of the antibiotic CDSS. A significant increase in uptake of the antibiotic CDSS by clinicians was observed following the formative evaluation. What is new and conclusion The formative evaluation approach during the implementation period of the studied antibiotic CDSS increased clinicians' uptake of the system. Formative evaluation may be recommended as a routine strategy to implement future CDSS and related clinical computing applications in hospital settings. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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