4.4 Article

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

Journal

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
Volume 42, Issue 10, Pages 1266-1271

Publisher

CAMBRIDGE UNIV PRESS
DOI: 10.1017/ice.2020.1383

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Funding

  1. Agency for Healthcare Research and Quality (AHRQ) [R03 HS026995-01]

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This qualitative study identified 5 barriers to antibiotic decision making at hospital discharge for healthcare workers and patients on oral antibiotics, including clinician perceptions of patient expectations, diagnostic uncertainty, culture differences between attending physician-led and multidisciplinary teams, lack of consideration of total antibiotic duration, and the need for discharge before complete data is available.
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.

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