It's Complicated: Patient and Informal Caregiver Performance of Outpatient Parenteral Antimicrobial Therapy-Related Tasks.
Outpatient parenteral antimicrobial therapy (OPAT) requires patients and caregivers to infuse antimicrobials through venous catheters (VCs) in the home. The objective of this study was to perform a patient-centered goal-directed task analysis to identify what is required for successful completion of...
| Publicado en: | American Journal of Medical Quality Vol. 35; no. 2; pp. 133 - 147 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Mar/Apr2020
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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=142380982&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 142380982 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10628606 Z2M jtl: American Journal of Medical Quality issn: 10628606 maglogo: N pubinfo: dt: Mar/Apr2020 vid: 35 iid: 2 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 142380982 142380982 NLM31161769 142380982 10.1177/1062860619853345 NLM31161769 142380982 ppf: 133 ppct: 14 formats: tig: atl: It's Complicated: Patient and Informal Caregiver Performance of Outpatient Parenteral Antimicrobial Therapy-Related Tasks. aug: au: Keller, Sara C. Cosgrove, Sara E. Arbaje, Alicia I. Chang, Rachel H. Krosche, Amanda Williams, Deborah Gurses, Ayse P. affil: Johns Hopkins University School of Medicine, Baltimore, MD sug: subj: Task Performance and Analysis Caregivers Infusions, Parenteral Clinical Competence Antiinfective Agents Administration and Dosage Female Male Observational Methods Aged Home Health Care Human Middle Age Qualitative Studies Interviews Validation Studies Comparative Studies Evaluation Research Multicenter Studies Caregiver Strain Index Funding Source Outpatients Aged: 65+ years Middle Aged: 45-64 years Female Male ab: Outpatient parenteral antimicrobial therapy (OPAT) requires patients and caregivers to infuse antimicrobials through venous catheters (VCs) in the home. The objective of this study was to perform a patient-centered goal-directed task analysis to identify what is required for successful completion of OPAT. The authors performed 40 semi-structured patient interviews and 20 observations of patients and caregivers performing OPAT-related tasks. Six overall goals were identified: (1) understanding and developing skills in OPAT, (2) receiving supplies, (3) medication administration and VC maintenance, (4) preventing VC harm while performing activities of daily living, (5) managing when hazards lead to failures, and (6) monitoring status. The authors suggest that patients and caregivers use teach-back, take formal OPAT classes, receive visual and verbal instructions, use cognitive aids, learn how to troubleshoot, and receive clear instructions to address areas of uncertainty. Addressing these goals is essential to ensuring the safety of and positive experiences for our patients. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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