Evaluating the implementability of Antibiotic Surgical Prophylaxis guidelines.

作者: Courtney Ierano , Darshini Ayton , Trisha Peel , Caroline Marshall , Karin Thursky

DOI: 10.1016/J.IDH.2019.08.004

关键词:

摘要: Abstract Background Current Australian data highlight guideline noncompliant prescribing of antimicrobials for surgical prophylaxis. The study aim was to evaluate the implementability national prophylaxis (SAP) guidelines identify facilitators and barriers compliance. Methods Key stakeholders appraised using GuideLine Implementability Appraisal (GLIA) tool. Questions with 100% agreement response ‘Yes' were identified as those ‘No', a barrier. that did not receive agreement, but had majority (40–60%) or ‘No' consensus considered borderline respectively. Results Ten appraisals completed. Guideline recommendations rated easily identifiable concise thus implementation. ability measure adherence outcomes, consistent user abilities beliefs also facilitators. Borderline related clarity whether they explicit in what do circumstances. Evidence quality underpinning (validity), inflexibility (flexibility) lack patient at point use (computability) No recommendation reached being Conclusion GLIA appraisal demonstrated overall current guidelines. Facilitators (i.e., measurability) strengths guideline. validity, flexibility computability) may negatively impact upon implementability. developers should consider these dimensions optimise uptake consequently care.

参考文章(51)
S. H Woolf, R. Grol, A. Hutchinson, M. Eccles, J. Grimshaw, Clinical guidelines: potential benefits, limitations, and harms of clinical guidelines. BMJ. ,vol. 318, pp. 527- 530 ,(1999) , 10.1136/BMJ.318.7182.527
Nanette M. Schwann, Karen A. Bretz, Sherrine Eid, Terry Burger, Deborah Fry, Frederick Ackler, Paul Evans, David Romancheck, Michelle Beck, Anthony J. Ardire, Harry Lukens, Thomas M. McLoughlin, Point-of-Care Electronic Prompts Anesthesia & Analgesia. ,vol. 113, pp. 869- 876 ,(2011) , 10.1213/ANE.0B013E318227B511
Richard N Shiffman, Jane Dixon, Cynthia Brandt, Abdelwaheb Essaihi, Allen Hsiao, George Michel, Ryan O'Connell, The GuideLine Implementability Appraisal (GLIA): development of an instrument to identify obstacles to guideline implementation BMC Medical Informatics and Decision Making. ,vol. 5, pp. 23- 23 ,(2005) , 10.1186/1472-6947-5-23
David B. Wax, Yaakov Beilin, Matthew Levin, Neil Chadha, Marina Krol, David L. Reich, The effect of an interactive visual reminder in an anesthesia information management system on timeliness of prophylactic antibiotic administration. Anesthesia & Analgesia. ,vol. 104, pp. 1462- 1466 ,(2007) , 10.1213/01.ANE.0000263043.56372.5F
AM Gülmezoglu, A Langer, G Piaggio, P Lumbiganon, J Villar, J Grimshaw, Cluster randomised trial of an active, multifaceted educational intervention based on the WHO Reproductive Health Library to improve obstetric practices British Journal of Obstetrics and Gynaecology. ,vol. 114, pp. 16- 23 ,(2006) , 10.1111/J.1471-0528.2006.01091.X
E. Meyer, F. Schwab, A. Pollitt, W. Bettolo, B. Schroeren-Boersch, M. Trautmann, Impact of a Change in Antibiotic Prophylaxis on Total Antibiotic Use in a Surgical Intensive Care Unit Infection. ,vol. 38, pp. 19- 24 ,(2010) , 10.1007/S15010-009-9115-2
Eun Young Nam, Hong Bin Kim, Hyunok Bae, Soyoung Moon, Sun Hee Na, Se Yong Kim, Doran Yoon, Ha Youn Lee, Joohae Kim, Chung-Jong Kim, Kyoung-Ho Song, Eu Suk Kim, Nam Joong Kim, Appropriateness of Surgical Antibiotic Prophylaxis in a Tertiary Hospital Korean Journal of Nosocomial Infection Control. ,vol. 19, pp. 64- 70 ,(2014) , 10.14192/KJNIC.2014.19.2.64
Michael D. Cabana, Cynthia S. Rand, Neil R. Powe, Albert W. Wu, Modena H. Wilson, Paul-André C. Abboud, Haya R. Rubin, Why Don't Physicians Follow Clinical Practice Guidelines?: A Framework for Improvement JAMA. ,vol. 282, pp. 1458- 1465 ,(1999) , 10.1001/JAMA.282.15.1458
David Dull, Sylvia K. Baird, Jennie Dulac, Linda Fox, Improving prophylactic perioperative antibiotic utilization in a hospital system. Journal for Healthcare Quality. ,vol. 30, pp. 48- 56 ,(2008) , 10.1111/J.1945-1474.2008.TB01170.X