改善手术中的抗微生物管理策略:来自民族学研究的见解
Hazel Parker1,2, Jo Day2, Julia Frost2
1Pharmacy Department, Royal Devon University Healthcare NHS Foundation Trust, Exeter, England, UK hp446@exeter.ac.uk.
BMJ open
|January 23, 2026
概括
改善手术抗微生物药物管理 (AMS) 需要解决时间压力和感知风险. 将感染专家纳入手术团队可以建立信任并改善患者护理.
科学领域:
- 医疗保健管理的管理
- 传染性疾病 传染性疾病
- 在外科手术实践中.
背景情况:
- 迫切需要加强外科抗微生物药物管理 (AMS),以改善患者护理和打击抗微生物药物耐药性.
- 改善AMS在临床环境中是一个复杂的挑战.
研究的目的:
- 探索改善手术环境中的抗生素处方行为的实用策略.
- 了解有效的外科AMS的障碍和促进因素.
主要方法:
- 民族学研究涉及43.5小时的临床观察和31个半结构面试与外科工作人员,AMS团队和患者.
- 使用框架方法进行分析,并综合参与利益相关者.
主要成果:
- 外科人员对抗菌素耐药性的认识很高,但由于时间限制和急性护理的感知风险,AMS经常被降低优先级.
- 组织和资源的局限性,以及电子处方系统的设计,阻碍了AMS的努力和跨学科的合作.
- 手术团队希望可持续的AMS改进,尊重层次结构,工作流程和员工流动;建议将感染专家纳入.
结论:
- 提出了以数据为导向,理论为基础的策略,以提高外科手术中的AMS.
- 专注于AMS的状态和可见性的环境适当的改进至关重要.
- 需要进一步的研究来评估拟议的AMS干预措施的影响和可持续性.
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