Individual and System-level Factors Contributing to Guideline Nonadherent Surgical Antibiotic Prophylaxis at a Tertiary Healthcare System: A Qualitative Analysis
Authors' conclusion
Nonadherence to antibiotic guidelines in the perioperative setting often results from a lack of structured workflow.
Study context
- Population
- Perioperative personnel (surgeons, anesthesiologists, certified nurse anesthetists, trainees, pharmacists) at a tertiary healthcare system9 sessions
- Participants
- 17 participants
- Outcome
- Factors influencing perioperative antibiotic administration (barriers/facilitators of guideline adherence)
Methodological detailssemistructured interviews, constant comparison method, Interviews September 2023 through April 2024; 3 piloting interviews, Participants: 7 attending anesthesiologists, 3 resident trainees, 2 perioperative pharmacists, 3 Certified Registered Nurse Anesthetists, 2 attending surgeons
- Semistructured interviews
- Constant comparison method
- Interviews September 2023 through April 2024; 3 piloting interviews
- Participants: 7 attending anesthesiologists, 3 resident trainees, 2 perioperative pharmacists, 3 Certified Registered Nurse Anesthetists, 2 attending surgeons
Main finding
As reported in the abstract
- Limited familiarity with Infectious Disease Society of America antibiotic guidelines
- Lack of standardization and optimization of antibiotic decision-making process
- Challenges with managing β-lactam allergies
- Difficulty optimizing vancomycin timing
- Perceived benefit of a clinical decision support tool in enhancing workflow and guideline adherence
Original publication
Individual and System-level Factors Contributing to Guideline Nonadherent Surgical Antibiotic Prophylaxis at a Tertiary Healthcare System: A Qualitative Analysis. Anesthesiology. Published 18 November 2024. doi:10.
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