在阿根廷的重症监护病房中改善抗菌剂的使用:使用规范化过程理论进行质量改善协作过程评估
Javier Roberti1, Juan Pedro Alonso2, Natalí Ini1
1CIESP/CONICET, Buenos Aires, Argentina; Institute for Clinical Effectiveness and Public Health, Buenos Aires, Argentina.
Infection, disease & health
|September 21, 2024
概括
在重症监护室 (ICU) 实施抗生素管理计划 (ASP) 面临着资源限制和员工抵抗等挑战. 尽管存在障碍,但在改善抗生素使用和沟通方面取得了部分成功,这凸显了需要持续努力的必要性.
科学领域:
- 医疗保健管理的管理
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 全球医疗保健相关感染和抗生素耐药性的增加.
- 抗生素管理计划 (ASP) 对于优化治疗和制耐药性至关重要.
- 实施ASP面临着持续的挑战,特别是在重症监护机构.
研究的目的:
- 评估在重症监护病房 (ICU) 的抗生素管理计划 (ASP) 的实施过程.
- 确定与阿根廷ICUASP实施相关的挑战和成功.
主要方法:
- 使用与医疗保健工作者 (HCWs) 进行半结构面试的定性研究设计.
- 以规范化过程理论为指导的分析,重点关注连贯性,认知参与,集体行动和反射监测.
- 在阿根廷八个重症监护室进行的研究,采访了34名HCW.
主要成果:
- 关键的挑战包括人力资源不足,缺乏机构支持,以及员工对变革的抵制.
- 在改善ICU中的抗生素使用和部门间沟通方面观察到部分成功.
- 由于工作量和培训参与问题,不一致地参与改进周期和不确定的可持续性.
结论:
- 在医疗保健机构中实施ASP面临着重大和持续的挑战.
- 加强协作,劳动力能力建设和基于证据的战略对于优化抗微生物药物使用至关重要.
- 解决障碍对于通过有效的ASP来改善患者的治疗结果至关重要.
更多相关视频
07:16Development of a Polymicrobial Colony Biofilm Model to Test Antimicrobials in Cystic Fibrosis
Published on: September 20, 2024
898
09:59Application of the Intelligent High-Throughput Antimicrobial Sensitivity Testing/Phage Screening System and Lar Index of Antimicrobial Resistance
Published on: July 21, 2023
1.2K
相关概念视频
Healthcare Associated Infections II: Preventive Measures
2.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.5K
The Scientific Method in Nursing Process
9.5K
The scientific method provides the foundation for any research. It is the most reliable and objective of all forms of gaining knowledge and guides in applying research-based evidence in practice and conducting future research.
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be...
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be...
9.5K
Nursing Clinical Information System
757
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
757
Hand hygiene
3.1K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
3.1K
