在退伍军人卫生管理局内的抗菌药物管理员中对抗菌药物管理计划的自动比较仪表板的感知:一项多中心定性研究
DeShauna Jones1,2, Alexandre R Marra1,3,4, Daniel Livorsi1,3
1Center for Access & Delivery Research and Evaluation (CADRE), Iowa City VA Health Care System, Iowa City, IA, USA.
概括
一个自动化仪表板通过提供可访问的数据和风险调整的基准分析,改善了抗微生物管理计划 (ASP) 活动. 然而,员工和培训等障碍需要解决,以实现一致的实施.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 抗微生物药物管理计划 (ASP) 对于打击抗微生物药物耐药性至关重要.
- 有效的监控和数据分析对于优化ASP活动至关重要.
- 现有的数据收集和报告方法可能是资源密集的.
研究的目的:
- 评估多中心,自动化仪表板对ASP活动的影响.
- 评估ASP领导者对该仪表板的接受度和可用性.
- 了解实施此类工具的感知好处和挑战.
主要方法:
- 在九个医疗中心实施了基于Web的ASP信息仪表板.
- 前线工作人员参与了实施前后的半结构化采访.
- 面试评估了仪表板的易用性,适用性,有效性和相对优势.
主要成果:
- 参与者发现仪表板比传统方法更直观,更容易使用.
- 仪表板减少了对其他系统和人员的依赖,以获取和共享数据.
- 经风险调整的基准评价被接受,但对设施特定影响到有效性的担忧被提出.
结论:
- 仪表板因其易用性和风险调整指标而被普遍接受.
- 建议对显示的指标进行进一步验证,并研究纵向效用.
- 解决人员和培训等实施障碍是全面采用的关键.
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