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抗菌药物管理:开发并试点一种组织内 peer-to-peer 评审工具,以根据国家指南改进服务提供。

Antimicrobial Stewardship: Development and Pilot of an Organisational Peer-to-Peer Review Tool to Improve Service Provision in Line with National Guidance.

作者信息

Oloyede Olaolu, Cramp Emma, Ashiru-Oredope Diane

机构信息

Public Health England, London SE1 8UG, UK.

Patient Safety, NHS Improvement, London SE1 6LH, UK.

出版信息

Antibiotics (Basel). 2021 Jan 5;10(1):44. doi: 10.3390/antibiotics10010044.

DOI:10.3390/antibiotics10010044
PMID:33466263
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7824785/
Abstract

Antimicrobial resistance continues to be a considerable threat to global public health due to the persistent inappropriate use of antibiotics. Antimicrobial stewardship (AMS) programs are essential in reducing the growth and spread of antibiotic resistance, in an environment which lacks incentives for the development of new antibiotics. Over the years, a variety of resources have been developed to strengthen antimicrobial stewardship. However, the differences in resources available present a challenge for organisations/teams to establish the best resources to utilise for service provision. A peer review tool was formulated using four national documents on AMS and tested through three phases with feedback. A survey method was used to collect feedback on the validity, feasibility, and impact of the AMS peer review tool. Feedback received was positive from the earlier pilots. The tool was found to be useful at identifying areas of good practice and gaps in antimicrobial stewardship across various pilot sites. Feedback suggests the tool is useful for promoting improvements to AMS programs and highlights that the content and features of the tool are appropriate for evaluating stewardship.

摘要

由于抗生素的持续不当使用,抗菌药物耐药性仍然是对全球公共卫生的重大威胁。在缺乏新抗生素研发激励措施的环境中,抗菌药物管理(AMS)计划对于减少抗生素耐药性的产生和传播至关重要。多年来,已经开发了各种资源来加强抗菌药物管理。然而,可用资源的差异给组织/团队带来了挑战,使其难以确定提供服务时要利用的最佳资源。使用四份关于抗菌药物管理的国家文件制定了一个同行评审工具,并通过三个阶段进行测试并收集反馈。采用调查方法收集关于抗菌药物管理同行评审工具的有效性、可行性和影响的反馈。早期试点收到的反馈是积极的。该工具被发现有助于识别各个试点地区抗菌药物管理的良好实践领域和差距。反馈表明该工具有助于促进抗菌药物管理计划的改进,并突出该工具的内容和功能适合评估管理工作。

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本文引用的文献

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Antibiotics (Basel). 2016 Jan 13;5(1):5. doi: 10.3390/antibiotics5010005.
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