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医护人员和患者共同参与的决策方法，用于指导住院患者向居家环境过渡期间的口服抗生素使用。

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

机构信息

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.

出版信息

Infect Control Hosp Epidemiol. 2021 Oct;42(10):1266-1271. doi: 10.1017/ice.2020.1383. Epub 2021 Jan 21.

DOI:10.1017/ice.2020.1383
PMID:33475083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8693544/
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.

摘要

在一项针对医护人员和口服抗生素出院患者的定性研究中，我们确定了医院出院时抗生素决策的 5 个障碍：临床医生对患者期望的看法、诊断不确定性、主治医生主导与多学科团队文化、未考虑总抗生素持续时间以及在完成数据前需要出院。

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JAMA. 2019 Jan 15;321(2):139-140. doi: 10.1001/jama.2018.19509.
2
'Careful goodbye at the door': is there role for antimicrobial stewardship interventions for antimicrobial therapy prescribed on hospital discharge?'在门口小心道别'：抗菌药物管理干预措施是否可用于规范患者出院后的抗菌药物治疗？
BMC Infect Dis. 2018 May 16;18(1):225. doi: 10.1186/s12879-018-3147-0.
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Duration of Antibiotics Prescribed at Hospital Discharge.出院时开具的抗生素使用时长。
S D Med. 2017 Apr;70(4):177-178.
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Toward a process-level view of distributed healthcare tasks: Medication management as a case study.迈向分布式医疗任务的流程级视图：以药物管理为例。
Appl Ergon. 2017 Nov;65:255-268. doi: 10.1016/j.apergo.2017.06.020. Epub 2017 Jul 13.
5
Intervention to Reduce Broad-Spectrum Antibiotics and Treatment Durations Prescribed at the Time of Hospital Discharge: A Novel Stewardship Approach.降低出院时开具的广谱抗生素及治疗时长的干预措施：一种新型管理方法
Infect Control Hosp Epidemiol. 2017 May;38(5):534-541. doi: 10.1017/ice.2017.10. Epub 2017 Mar 6.
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An Evaluation of Antibiotic Prescribing Practices Upon Hospital Discharge.出院时抗生素处方行为的评估
Infect Control Hosp Epidemiol. 2017 Mar;38(3):353-355. doi: 10.1017/ice.2016.276. Epub 2016 Nov 28.
7
Physicians' knowledge, perceptions and behaviour towards antibiotic prescribing: a systematic review of the literature.医生对抗生素处方的知识、看法和行为：文献系统综述。
Expert Rev Anti Infect Ther. 2015 May;13(5):665-80. doi: 10.1586/14787210.2015.1025057. Epub 2015 Mar 26.
8
SEIPS 2.0: a human factors framework for studying and improving the work of healthcare professionals and patients.SEIPS 2.0：一种用于研究和改善医疗保健专业人员和患者工作的人因学框架。
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