A healthcare worker and patient-informed approach to oral antibiotic decision making during the hospital-to-home transition.

Anti-Bacterial Agents / therapeutic use Decision Making Health Personnel Hospitals Humans Patient Discharge

Journal

Infection control and hospital epidemiology
ISSN: 1559-6834
Titre abrégé: Infect Control Hosp Epidemiol
Pays: United States
ID NLM: 8804099

Informations de publication

Date de publication:
10 2021
Historique:
pubmed: 22 1 2021
medline: 5 12 2021
entrez: 21 1 2021
Statut: ppublish

Résumé

In a qualitative study of healthcare workers and patients discharged on oral antibiotics, we identified 5 barriers to antibiotic decision making at hospital discharge: clinician perceptions of patient expectations, diagnostic uncertainty, attending physician-led versus multidisciplinary team culture, not accounting for total antibiotic duration, and need for discharge prior to complete data.

Identifiants

DOI: 10.1017/ice.2020.1383 PMID: 33475083 PMC: PMC8693544
pubmed: 33475083
pii: S0899823X20013835
doi: 10.1017/ice.2020.1383
pmc: PMC8693544
mid: NIHMS1761847
doi:

Substances chimiques

Anti-Bacterial Agents 0

Types de publication

Journal Article Research Support, U.S. Gov't, P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

1266-1271

Subventions

Organisme : AHRQ HHS
ID : R03 HS026995
Pays : United States

Références

BMC Infect Dis. 2018 May 16;18(1):225
pubmed: 29769028
Ergonomics. 2013;56(11):1669-86
pubmed: 24088063
S D Med. 2017 Apr;70(4):177-178
pubmed: 28813735
Infect Control Hosp Epidemiol. 2017 May;38(5):534-541
pubmed: 28260538
Appl Ergon. 2017 Nov;65:255-268
pubmed: 28802446
JAMA. 2019 Jan 15;321(2):139-140
pubmed: 30589917
Expert Rev Anti Infect Ther. 2015 May;13(5):665-80
pubmed: 25813839
Infect Control Hosp Epidemiol. 2017 Mar;38(3):353-355
pubmed: 27890038
Qual Saf Health Care. 2008 Oct;17(5):351-9
pubmed: 18842974

Auteurs

Sima L Sharara (SL)

Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Alicia I Arbaje (AI)

Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Division of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.

Sara E Cosgrove (SE)

Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Ayse P Gurses (AP)

Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.
Whiting School of Engineering, Johns Hopkins University, Baltimore, Maryland.

Kathryn Dzintars (K)

Department of Pharmacy, Johns Hopkins Hospital, Baltimore, Maryland.

Nicholas Ladikos (N)

Department of Pharmacy, Suburban Hospital, Bethesda, Maryland.
Hospital Epidemiology and Antimicrobial Stewardship, Suburban Hospital, Bethesda, Maryland.

S Sonia Qasba (SS)

Hospital Epidemiology and Antimicrobial Stewardship, Suburban Hospital, Bethesda, Maryland.
Suburban Hospitalist Group, Johns Hopkins Community Physicians, Bethesda, Maryland.
Pediatric Emergency Department, Bethesda Emergency Associates, Suburban Hospital, Bethesda, Maryland.

Sara C Keller (SC)

Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland.
ORCID: 0000-0001-9660-4367

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Classifications MeSH

questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Anti-infectieux › Antibactériens › A healthcare worker and patient-informed...
questionsmedicales.fr › Phénomènes psychologiques › Processus mentaux › Pensée (activité mentale) › Prise de décision › A healthcare worker and patient-informed...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › A healthcare worker and patient-informed...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Hôpitaux › A healthcare worker and patient-informed...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › A healthcare worker and patient-informed...
questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Services de santé polyvalents › Soins de santé primaires › Continuité des soins › Sortie du patient › A healthcare worker and patient-informed...