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.