了解和绘制辅助生活设施中抗生素处方和给药过程

IF 1.8 Q3 PHARMACOLOGY & PHARMACY
Deepthi Jacob, Betty Chewning, James H. Ford II
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引用次数: 0

摘要

目的不适当的处方做法是抗生素耐药性的重要因素,对公共卫生构成重大挑战。虽然在包括养老院在内的各种环境中广泛研究了抗生素的处方和管理过程,但对辅助生活设施(ALFs)知之甚少。本研究旨在绘制ALFs的抗生素处方和给药过程。设计一项使用患者安全系统工程计划(SEIPS) 2.0模型的定性描述性研究。方法对位于美国中西部州的5家ALFs的工作人员进行了7次半结构化访谈。参与的工作人员要么参与了这个过程,要么了解这个过程。采用SEIPS 2.0模型作为理论框架,在NVivo中对访谈进行分析。结果该分析为ALFs居民的33步抗生素处方和给药过程提供了信息。他们被分为五个部分:入院,居民病情变化,抗生素处方,从药房获得处方,抗生素给药和随访。药店在向alf提供处方方面发挥了关键作用,并且在支持抗生素管理工作方面具有独特的优势。结论和意义本研究是第一个系统地绘制ALFs抗生素处方和给药过程的研究之一。关于使用首选药房的见解强调了药剂师在管理实践中的机会。将这一过程与养老院的过程进行比较,表明在那里使用的几种药剂师领导的管理干预措施可以有效地适用于alf。进一步的研究是必要的,以评估抗生素处方和药剂师驱动的专门为ALFs量身定制的管理干预措施的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Understanding and mapping the antibiotic prescribing and administration process in assisted living facilities

Objective

Inappropriate prescribing practices significantly contribute to antibiotic resistance which poses a significant public health challenge. While antibiotic prescribing and administration process has been widely studied in various settings including nursing homes, little is known about Assisted Living Facilities (ALFs). This study aims to map the antibiotic prescribing and administration processes in ALFs.

Design

A qualitative descriptive study using the Systems Engineering Initiative for Patient Safety (SEIPS) 2.0 model.

Methods

Seven semi-structured interviews were conducted with staff from five ALFs located in a mid-western state. Participating staff were either involved in or knowledgeable about the process. The interviews were analyzed in NVivo using SEIPS 2.0 model as a theoretical framework.

Results

The analysis informed the mapping of a 33-step antibiotic prescribing and administration process for residents in ALFs. They were grouped into five sections: admission, resident having a change in condition, antibiotic prescribing, obtaining the prescription from the pharmacy, and antibiotic administration and follow-up. Pharmacies played critical role in delivery of prescriptions to ALFs and are uniquely positioned to support antibiotic stewardship efforts.

Conclusions and implications

This study is among the first to systematically map the antibiotic prescribing and administration process in ALFs. Insights gathered regarding the use of preferred pharmacies highlight opportunities for pharmacists in stewardship practices. Comparison of the process to that of nursing homes, suggests that several pharmacist-led stewardship interventions used there could be adapted effectively in ALFs. Further research is essential to assess the impact of antibiotic prescribing and pharmacist-driven stewardship interventions tailored specifically for ALFs.
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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
0
审稿时长
103 days
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