了解临床实施协调员在部署基于证据的干预措施方面的经验
Sara E Hernandez1, Demetrius Solomon2, Jukrin Moon1
1School of Pharmacy, University of Wisconsin-Madison, Madison, WI, USA.
概括
临床实施协调员是实施抗生素管理干预措施的关键,如诺基诺隆限制. 他们面临员工和COVID-19等障碍,但通过协作和赋权取得了成功.
科学领域:
- 医疗保健管理的管理
- 抗生素管理的管理.
- 临床实施科学 临床实施科学
背景情况:
- 用于预防Clostridioides difficile感染 (FIRST) 的诺基诺限制试验旨在优化诺基诺的使用.
- 在抗生素管理小组 (AST) 中的临床实施协调员 (CIC) 对于实施基于证据的干预措施至关重要.
- 了解CIC的作用对于成功采用医疗保健创新至关重要.
研究的目的:
- 描述CIC在AST中的角色和责任.
- 确定CIC在实施过程中遇到的促进者和障碍.
主要方法:
- 半结构面试,实施日记和检查会议的定向内容分析.
- 利用了中层管理人员在医疗保健创新实施中的角色的概念框架.
主要成果:
- 中央信息中心扮演着不同的角色:为最佳实践警报 (BPA) 收集信息,为员工做好准备,组织会议,参与利益相关者和临床评估.
- 关键障碍包括组织人员配置模式和COVID-19中断.
- 促进者包括AST授权,积极的员工关系和各种实施策略.
结论:
- 通过其角色和责任,CIC显著促进医疗保健创新实施.
- 中医药集团作为战略合作伙伴,加强了抗生素管理协议的采用和可持续性,如诺基诺预审批.
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