Barriers and facilitators of appropriate vancomycin use: prescribing context is key.
Purpose: Audit studies reveal frequent non-compliance with dosing and monitoring guidelines for vancomycin. This study aimed to qualitatively explore the barriers and facilitators of compliance with vancomycin dosing and monitoring guidelines.Methods: Interviews were conducted with 16 prescribers in...
| Publicado en: | European Journal of Clinical Pharmacology Vol. 74; no. 11; pp. 1523 - 1530 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Nov2018
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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=132223044&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 132223044 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00316970 NP9 jtl: European Journal of Clinical Pharmacology issn: 00316970 maglogo: N pubinfo: dt: Nov2018 vid: 74 iid: 11 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 132223044 132223044 132223044 10.1007/s00228-018-2525-2 132223044 ppf: 1523 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Barriers and facilitators of appropriate vancomycin use: prescribing context is key. aug: au: Chan, Joanne Oi Sze Baysari, Melissa Therese Carland, Jane Ellen Sandaradura, Indy Moran, Maria Day, Richard Osborne affil: School of Medical Sciences, University of New South Wales, Sydney, NSW, Australia sug: subj: Health Services Accessibility Vancomycin Therapeutic Use Medication Compliance Vancomycin Administration and Dosage Prescriptions, Drug Drug Monitoring Practice Guidelines Human Qualitative Studies Interviews Tertiary Health Care Academic Medical Centers Australia Professional Knowledge Attitude of Health Personnel Thematic Analysis Communication Phlebotomists Vancomycin Blood Health Personnel Education ab: Purpose: Audit studies reveal frequent non-compliance with dosing and monitoring guidelines for vancomycin. This study aimed to qualitatively explore the barriers and facilitators of compliance with vancomycin dosing and monitoring guidelines.Methods: Interviews were conducted with 16 prescribers in a large tertiary teaching hospital in Sydney, Australia. Questions explored knowledge, attitudes, and perceived complexities associated with vancomycin use. Interviews were analysed using thematic analysis.Results: Prescribers reported utilising vancomycin guidelines, citing familiarity with guidelines, a positive perception of guidelines, awareness of poor guideline compliance, and assistance from specialist staff as facilitators of the uptake of guideline recommendations. Barriers existing within the prescribing environment such as the prescribing culture, a lack of time, and poor communication and coordination of therapeutic drug monitoring processes were identified as hindrances to guideline compliance.Conclusions: The provision of guidelines may not be sufficient in ensuring appropriate prescribing and monitoring of vancomycin when barriers relating to the prescribing environment exist. Developing interventions targeted toward these barriers, such as having dedicated phlebotomists for vancomycin blood sampling, fostering better handover processes, and educating staff on poorly understood aspects of guidelines, is likely to improve the uptake of guideline recommendations for vancomycin and other medications requiring therapeutic drug monitoring. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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