基于医院的复杂电子处方干预以支持抗微生物药物管理:定性研究
Kathrin Cresswell1, Susan Hinder1, Aziz Sheikh1
1Usher Institute, University of Edinburgh, Edinburgh, United Kingdom.
JMIR formative research
|July 26, 2024
概括
开发复杂的抗微生物管理 (AMS) 干预措施需要以用户为中心的设计,以应对现实世界的挑战. 预测在医院实施AMS的所有障碍是很困难的,即使采用参与式方法.
科学领域:
- 医疗保健管理的管理
- 传染病控制和控制传染病
- 公共卫生 公共卫生
背景情况:
- 抗菌素耐药性 (AMR) 构成了全球重大公共卫生威胁.
- 有效的抗微生物药物管理 (AMS) 计划对于在医院环境中打击AMR至关重要.
研究的目的:
- 调查开发和实施旨在改善医院AMS的复杂干预的挑战.
- 确定促进和阻碍AMS干预措施有效使用的因素和障碍.
主要方法:
- 在英国一家医院进行多组件AMS干预的定性评估.
- 在两个时间点采访了25名医疗保健专业人员 (处方师,护士,药剂师,微生物学家).
- 观察病房巡回,以了解现实世界的AMS实践.
主要成果:
- 由于相互竞争的医院压力,干预措施的采用和影响难以追踪.
- 行为和教育的组成部分往往是不一致的.
- 参与式设计解决了典型的用例,但并非所有现实世界的变化和边缘案例.
结论:
- 以用户为中心的设计提高了复杂的AMS干预措施的接受和使用.
- 并非所有实施障碍和要求都可以在全面部署之前预见或测试.
关键词:
抗菌药物反症 (AMR) 是一种美国航空航天管理系统 (AMS)抗微生物药物是一种抗菌药物.抗微生物耐药性 抗微生物耐药性抗微生物药物管理管理抗微生物药物 抗微生物药物这是一种行为性行为.复杂的干预是复杂的干预.复杂的干预是复杂的干预.发展发展发展发展发展.电子处方 电子处方 电子处方在ePAMS+中使用ePAMS.教育教育教育教育的教育.电子处方 电子处方 电子处方评价 评价 评价 评价医疗保健 医疗保健 医疗保健 医疗保健医院 医院 医院 医院医院为基础的医院为基础的医院.医院 医院 医院 医院实施实施实施实施实施.进行深入的研究.面试 面试 面试 面试 面试面试 面试 面试 面试微生物学家微生物学家微生物学家是微生物学家.护士护士护士是什么意思护士 护士 护士 护士观察 观察 观察观察 观察 观察 观察药剂师 药剂师 药剂师 药剂师药剂师是药剂师,药剂师是药剂师,药剂师是药剂师.处方医生 处方医生 处方医生处方医生 处方医生 处方医生 处方医生这是一个处方书.处方 处方是一种处方.公共卫生公共卫生.定性研究是一种定性研究.这是一个技术性的技术.专题分析 专题分析更多相关视频
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