评估医院抗生素管理计划 (ASP) 的实施:对实施科学调查的验证.
Jorie Michaela Butler1,2,3,4, Ellen Childs5, Tamar Barlam6
1Department of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, UT, USA.
概括
这项研究开发了一项有效的抗生素管理计划 (ASP) 调查,使用了实施研究综合框架 (CFIR). 该调查有助于确定影响ASP成功的因素,并允许在各个医疗机构进行比较.
科学领域:
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
- 传染性疾病 传染性疾病
背景情况:
- 抗生素管理计划 (ASP) 对于打击抗生素耐药性和提高患者护理至关重要.
- 需要一个经过验证的工具来理解ASP的实施,并促进跨站点的比较.
研究的目的:
- 开发和验证基于实施研究综合框架 (CFIR) 的调查工具,以评估抗生素管理计划实施的决定因素.
- 评估开发的调查的心理测量特性.
主要方法:
- 从退伍军人事务 (VA) 医院招募传染病药剂师和医生完成调查.
- 根据CFIR开发了调查,评估了五个CFIR领域的22个实施决定因素.
- 进行了确认因素分析 (CFA) 和评估了内部一致性 (Cronbach's alpha).
主要成果:
- 来自110家退伍军人医院的150名工作人员完成了调查.
- 对大多数CFIR构造来说,CFA显示出很好的适应性,内部一致性在0.54-0.96.6之间.
- 积极感知的关键决定因素包括自我效能,参与度,证据的强度和质量以及相对优势.
结论:
- 基于CFIR的调查是评估抗生素管理计划实施结果的决定因素的有效工具.
- 该工具可以帮助临床,质量改善和研究团队识别实施障碍和促进者.
- 该调查使战略规划成为可能,并促进在不同地点对ASP实施的比较.
更多相关视频
11:17Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
13.0K
09:59Application of the Intelligent High-Throughput Antimicrobial Sensitivity Testing/Phage Screening System and Lar Index of Antimicrobial Resistance
Published on: July 21, 2023
1.4K
相关概念视频
01:22Healthcare Associated Infections II: Preventive Measures
2.8K
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...
2.8K
00:57Antibiotic Selection
55.4K
Overview
55.4K
01:26Urine Studies II: Urine Culture and Sensitivity Test
130
A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...
130
02:16Surveys
15.4K
Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
15.4K
01:14SBAR II: Application of SBAR
4.8K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.8K