Individual and System Level Factors Contributing to Guideline Non-Adherent Surgical Antibiotic Prophylaxis at a Tertiary Health Care System: A Qualitative Analysis.
Bardia A, Melnick E, McCall T, Zhao X, Lin H, Fisher C, Burg M, Schonberger R. Individual and System Level Factors Contributing to Guideline Non-Adherent Surgical Antibiotic Prophylaxis at a Tertiary Health Care System: A Qualitative Analysis. Anesthesiology 2024 PMID: 39556527, DOI: 10.1097/aln.0000000000005302.Peer-Reviewed Original ResearchClinical decision supportCertified Registered Nurse AnesthetistsGuideline adherenceInfectious Diseases Society of AmericaQualitative studyTertiary health care systemClinical decision support toolSemi-structured interview formatSystem-level factorsHealth care systemRegistered Nurse AnesthetistsConstant comparison methodInfectious Diseases SocietyDecision supportAntibiotic guidelinesCare systemProvider needsNurse anesthetistsPerioperative pharmacistLimited familiarityPerceived benefitsNon-adherenceInterview formatLevel factorsResident traineesFormative evaluation of an emergency department clinical decision support system for agitation symptoms: a study protocol
Wong A, Nath B, Shah D, Kumar A, Brinker M, Faustino I, Boyce M, Dziura J, Heckmann R, Yonkers K, Bernstein S, Adapa K, Taylor R, Ovchinnikova P, McCall T, Melnick E. Formative evaluation of an emergency department clinical decision support system for agitation symptoms: a study protocol. BMJ Open 2024, 14: e082834. PMID: 38373857, PMCID: PMC10882402, DOI: 10.1136/bmjopen-2023-082834.Peer-Reviewed Original ResearchConceptsComputerised clinical decision supportED treatRestraint useExperiences of restraint useMental health-related visitsEmergency departmentPrevent agitationSystems-related factorsImprove patient experienceClinical decision support systemsRegional health systemClinical decision supportDe-escalation techniquesRandomised controlled trialsFormative evaluationPeer-reviewed journalsBest-practice guidanceAt-risk populationsCDS toolsThematic saturationED cliniciansPatient experienceED sitesHealth systemED physicians