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- W83991020 abstract "Aim: To describe the attitudes, facilitating factors and barriers that Intensive Care Unit (ICU) and Infectious Diseases (ID) physicians identify regarding prescribing empiric antimicrobial therapy according to protocols in an ICU.Methods: ICU and ID consultants were interviewed individually using a semi-structured interview and ICU junior doctors were surveyed regarding their thoughts on protocol based prescribing. Thematic analysis using an integrated approach based on grounded theory identified primary themes.Results: Two primary themes that emerged from the data were clinical and cultural.The clinical factor that all groups thought would facilitate compliance with protocols was education at the the time of the introduction of protocols. The consultant cohort felt the clinical enablers ere: a strong evidence base and physician involvement in their development, along with regular audit and feedback, whereas the junior medical officers felt clear formatting and ease of access would aid compliance.The cultural enabling factors were: consensus amongst physicians of the merit of the protocol, and the provision of ongoing reminders to use them. The consultant cohort felt that a collaborative relationship between the developers and users of the protocol was also important.The primary clinical barrier was a perceived inflexibility for patients that the medical officers considered should be exempt from the protocols. The cultural barriers identified by ICU and ID consultants were the reduction of prescribing autonomy, as well as organisational governance.Conclusion: Factors influencing the implementation of and compliance with protocols in the ICU differs with varying medical grades and specialties. These factors can be categorised as either clinical or cultural. The knowledge and management of these factors is valuable for tailoring the protocol implementation process to meet the needs of the different stakeholders and increase the likelihood of success." @default.
- W83991020 created "2016-06-24" @default.
- W83991020 creator A5080556277 @default.
- W83991020 date "2014-07-30" @default.
- W83991020 modified "2023-09-27" @default.
- W83991020 title "A qualitative exploration of physician attitudes toward implementing protocol-based prescribing for empiric use of antimicrobials for common infections in a tertiary intensive care unit" @default.
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