Implementation of an antibiotic stewardship intervention to reduce prescription of fluoroquinolones: A human factors analysis in two intensive care units.
Antibiotic use is often the target of interventions in health care organizations that aim to decrease healthcare-associated infections (HAI) such as Clostridioides difficile (CDI); this is particularly important for fluoroquinolones (FQ), which are frequently used in critical care settings. In this...
| Publicado en: | Journal of Patient Safety & Risk Management Vol. 26; no. 4; pp. 161 - 172 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Jul2021
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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=151896785&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151896785 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 25160435 LAW1 jtl: Journal of Patient Safety & Risk Management issn: 25160435 maglogo: N pubinfo: dt: Jul2021 vid: 26 iid: 4 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 151896785 151037373 151896785 151896785 10.1177/25160435211025417 151896785 ppf: 161 ppct: 11 formats: tig: atl: Implementation of an antibiotic stewardship intervention to reduce prescription of fluoroquinolones: A human factors analysis in two intensive care units. aug: au: Carayon, Pascale Thuemling, Teresa Parmasad, Vishala Bao, Songtao O'Horo, John Bennett, Nicholas T Safdar, Nasia affil: Department of Industrial and Systems Engineering, Wisconsin Institute for Healthcare Systems Engineering, University of Wisconsin-Madison, Madison, WI, USA sug: subj: Program Implementation Antimicrobial Stewardship Antiinfective Agents, Fluoroquinolone Therapeutic Use Prescribing Patterns Intensive Care Units Hospitals Human Case Studies Electronic Health Records Conceptual Framework Leadership Patient Safety Coding Descriptive Statistics Comparative Studies Funding Source ab: Antibiotic use is often the target of interventions in health care organizations that aim to decrease healthcare-associated infections (HAI) such as Clostridioides difficile (CDI); this is particularly important for fluoroquinolones (FQ), which are frequently used in critical care settings. In this study, using a multiple case study research approach, we conduct an in-depth analysis of an intervention aimed at limiting ICU prescriber access to FQ in two ICUs of two hospitals. The data collection and analysis were guided by a human factors engineering approach based on the SEIPS (Systems Engineering Initiative for Patient Safety) model and evidence-based implementation principles. Our results show some differences in the implementation of the FQ intervention between the two ICUs, such as level and method of FQ restriction, and training and communication with physicians and pharmacists. In both ICUs, several organizational learning mechanisms helped to quickly identify problems with the intervention and ensure that changes were made in a just-in-time manner (e.g. just-in-time training, removal of FQ in order set for pneumonia). Despite their organizational differences, both sites developed strategies to successfully implement the FQ intervention. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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