临床医生如何做出决定? 探索复杂的抗生素处方在急诊室使用视频反射民族学的复杂性
Mila Obucina1,2, Laura Hamill1,3, Ronald Huynh1
1Department of Emergency Medicine, Gold Coast Health, Gold Coast, QLD, Australia.
Qualitative health research
|October 23, 2023
概括
在急诊室 (ED) 处方过多的抗生素助长了抗菌素耐药性. 视频反射民族学揭示了临床判断,指导方针,患者期望和干扰影响抗生素处方决策.
科学领域:
- 医学研究 医学研究
- 质量健康研究 质量健康研究
- 抗微生物药物管理委员会
背景情况:
- 过度处方抗生素是全球抗菌素耐药性的主要驱动因素.
- 紧急诊所 (ED) 是抗生素使用的关键设置,具有复杂的处方决定因素.
- 有效的抗生素管理需要了解这些复杂的处方影响.
研究的目的:
- 探索影响ED中临床医生的抗生素处方决定的上下文因素.
- 调查视频反射民族学 (VRE) 在了解临床实践中的实用性.
- 确定在紧急情况下为最佳的抗生素处方设置的障碍和促进因素.
主要方法:
- 使用视频反射民族学 (VRE) 进行的探索性定性研究.
- 现场工作和视频观察两家澳大利亚ED的临床决策.
- 促进了与临床医生一起进行小组反思性会议,审查记录的处方场景.
主要成果:
- 主题分析确定了四个关键主题:临床判断,指南可用性,患者期望和上下文干扰.
- 临床医生在复杂的ED环境,电子工具和高级员工讨论中面临挑战.
- VRE有效地可视化了ED的复杂性,并刺激了关于抗生素处方的团队讨论.
结论:
- 了解对ED抗生素处方的多方面的影响对于管理至关重要.
- VRE是可视化实践复杂性和促进对话的宝贵工具.
- 整合VRE可以支持开发用于EDs抗生素管理的务实解决方案.
相关概念视频
Antibiotic Selection
54.5K
Overview
54.5K
Development of Antibiotic Resistance
17
Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
17
Methods of Documentation VII: EMR
842
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
842
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
14
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
14
Combined Effects of Drugs: Synergism
4.0K
Synergism is a useful mechanism where combining two or more drugs is more effective than each constituent used alone. Such combinations are also called supra-additive interactions. The drugs collectively enhance the final therapeutic effect by acting on different targets. Another advantage is that the low dose of each constituent drug is sufficient to achieve the desired effect. This helps reduce the duration of therapy and lower the adverse effects of these drugs.
Such synergistic combinations...
Such synergistic combinations...
4.0K
Naturalistic Observations
15.5K
If you want to understand how behavior occurs, one of the best ways to gain information is to simply observe the behavior in its natural context. However, people might change their behavior in unexpected ways if they know they are being observed. How do researchers obtain accurate information when people tend to hide their natural behavior? As an example, imagine that your professor asks everyone in your class to raise their hand if they always wash their hands after using the restroom. Chances...
15.5K


