Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-28T19:42:42.716Z Has data issue: false hasContentIssue false
  • English
  • Français

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

Published online by Cambridge University Press:  21 January 2021

Sima L. Sharara ,
Alicia I. Arbaje ,
Sara E. Cosgrove ,
Ayse P. Gurses ,
Kathryn Dzintars ,
Nicholas Ladikos ,
S. Sonia Qasba  and
Sara C. Keller Open the ORCID record for Sara C. Keller [Opens in a new window]
Sima L. Sharara
Affiliation:
Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
Alicia I. Arbaje
Affiliation:
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
Affiliation:
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
Affiliation:
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
Affiliation:
Department of Pharmacy, Johns Hopkins Hospital, Baltimore, Maryland
Nicholas Ladikos
Affiliation:
Department of Pharmacy, Suburban Hospital, Bethesda, Maryland Hospital Epidemiology and Antimicrobial Stewardship, Suburban Hospital, Bethesda, Maryland
S. Sonia Qasba
Affiliation:
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*
Affiliation:
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
*
Author for correspondence: Sara Keller, E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

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.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 42 , Issue 10 , October 2021 , pp. 1266 - 1271
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Chavada, R, Davey, J, O’Connor, L, Tong, D. ‘Careful goodbye at the door’: is there role for antimicrobial stewardship interventions for antimicrobial therapy prescribed on hospital discharge? BMC Infect Dis 2018;18:225.CrossRefGoogle Scholar
Hoover, SE. Duration of antibiotics prescribed at hospital discharge. S D Med 2017;70:177–178.Google ScholarPubMed
Yogo, N, Shihadeh, K, Young, H, et al. Intervention to reduce broad-spectrum antibiotics and treatment durations prescribed at the time of hospital discharge: a novel stewardship approach. Infect Control Hosp Epidemiol 2017;38:534–541.CrossRefGoogle Scholar
Scarpato, SJ, Timko, DR, Cluzet, VC, et al. An evaluation of antibiotic prescribing practices upon hospital discharge. Infect Control Hosp Epidemiol 2017;38:353–355.CrossRefGoogle ScholarPubMed
Werner, NE, Malkana, S, Gurses, AP, Leff, B, Arbaje, AI. Toward a process-level view of distributed healthcare tasks: medication management as a case study. Appl Ergon 2017;65:255–268.CrossRefGoogle Scholar
Crabtree, BF, Miller, WL. Doing Qualitative Research. Washington, DC: Sage; 1999.Google Scholar
Tamma, PD, Miller, MA, Cosgrove, SE. rethinking how antibiotics are prescribed: incorporating the 4 moments of antibiotic decision making into clinical practice. JAMA 2019;321:139–140.CrossRefGoogle Scholar
Gurses, AP, Seidl, KL, Vaidya, V, et al. Systems ambiguity and guideline compliance: a qualitative study of how intensive care units follow evidence-based guidelines to reduce healthcare-associated infections. Qual Saf Health Care 2008;17:351–359.CrossRefGoogle ScholarPubMed
Holden, RJ, Carayon, P, Gurses, AP, et al. SEIPS 2.0: a human factors framework for studying and improving the work of healthcare professionals and patients. Ergonomics 2013;56:1669–1686.CrossRefGoogle ScholarPubMed
Rezal, RS, Hassali, MA, Alrasheedy, AA, Saleem, F, Yusof, FA, Godman, B. Physicians’ knowledge, perceptions and behaviour towards antibiotic prescribing: a systematic review of the literature. Expert Rev Anti Infect Ther 2015;13:665–680.CrossRefGoogle Scholar
Supplementary material: File

Sharara et al. supplementary material

Appendix A

Download Sharara et al. supplementary material(File)
File 21.2 KB