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

doi:10.1017/ice.2020.1383

. 2021 Oct;42(10):1266-1271.

doi: 10.1017/ice.2020.1383. Epub 2021 Jan 21.

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

Sima L Sharara¹, Alicia I Arbaje^{2

3

4}, Sara E Cosgrove^{1

2}, Ayse P Gurses^{2

4

5}, Kathryn Dzintars⁶, Nicholas Ladikos^{7

8}, S Sonia Qasba^{8

9

10}, Sara C Keller^{1

2}

Affiliations

¹ Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
² Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland.
³ Division of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
⁴ Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.
⁵ Whiting School of Engineering, Johns Hopkins University, Baltimore, Maryland.
⁶ Department of Pharmacy, Johns Hopkins Hospital, Baltimore, Maryland.
⁷ Department of Pharmacy, Suburban Hospital, Bethesda, Maryland.
⁸ Hospital Epidemiology and Antimicrobial Stewardship, Suburban Hospital, Bethesda, Maryland.
⁹ Suburban Hospitalist Group, Johns Hopkins Community Physicians, Bethesda, Maryland.
¹⁰ Pediatric Emergency Department, Bethesda Emergency Associates, Suburban Hospital, Bethesda, Maryland.

PMID: 33475083
PMCID: PMC8693544
DOI: 10.1017/ice.2020.1383

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

Sima L Sharara et al. Infect Control Hosp Epidemiol. 2021 Oct.

. 2021 Oct;42(10):1266-1271.

doi: 10.1017/ice.2020.1383. Epub 2021 Jan 21.

Authors

Sima L Sharara¹, Alicia I Arbaje^{2

3

4}, Sara E Cosgrove^{1

2}, Ayse P Gurses^{2

4

5}, Kathryn Dzintars⁶, Nicholas Ladikos^{7

8}, S Sonia Qasba^{8

9

10}, Sara C Keller^{1

2}

Affiliations

¹ Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
² Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland.
³ Division of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
⁴ Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.
⁵ Whiting School of Engineering, Johns Hopkins University, Baltimore, Maryland.
⁶ Department of Pharmacy, Johns Hopkins Hospital, Baltimore, Maryland.
⁷ Department of Pharmacy, Suburban Hospital, Bethesda, Maryland.
⁸ Hospital Epidemiology and Antimicrobial Stewardship, Suburban Hospital, Bethesda, Maryland.
⁹ Suburban Hospitalist Group, Johns Hopkins Community Physicians, Bethesda, Maryland.
¹⁰ Pediatric Emergency Department, Bethesda Emergency Associates, Suburban Hospital, Bethesda, Maryland.

PMID: 33475083
PMCID: PMC8693544
DOI: 10.1017/ice.2020.1383

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.

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Conflict of interest statement

Conflicts

The authors report no conflicts of interest.

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References

1. Chavada R, Davey J, O’Connor L, Tong D. ‘Careful goodbye at the door’: is there role for antimicrobial stewardship interventions for antimicrobial therapy prescribed on hospital discharge? BMC Infect Dis 2018;18:225. - PMC - PubMed
1. Hoover SE. Duration of antibiotics prescribed at hospital discharge. S D Med 2017;70:177–8. - PubMed
1. Yogo N, Shihadeh K, Young H, et al. Intervention to Reduce Broad-Spectrum Antibiotics and Treatment Durations Prescribed at the Time of Hospital Discharge: A Novel Stewardship Approach. Infect Control Hosp Epidemiol 2017;38:534–41. - PMC - PubMed
1. Scarpato SJ, Timko DR, Cluzet VC, et al. An Evaluation of Antibiotic Prescribing Practices Upon Hospital Discharge. Infect Control Hosp Epidemiol 2017;38:353–5. - PubMed
1. Werner NE, Malkana S, Gurses AP, Leff B, Arbaje AI. Toward a process-level view of distributed healthcare tasks: Medication management as a case study. Appl Ergon 2017;65:255–68. - PMC - PubMed

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[1] Chavada R, Davey J, O’Connor L, Tong D. ‘Careful goodbye at the door’: is there role for antimicrobial stewardship interventions for antimicrobial therapy prescribed on hospital discharge? BMC Infect Dis 2018;18:225. - PMC - PubMed

[2] Chavada R, Davey J, O’Connor L, Tong D. ‘Careful goodbye at the door’: is there role for antimicrobial stewardship interventions for antimicrobial therapy prescribed on hospital discharge? BMC Infect Dis 2018;18:225. - PMC - PubMed

[3] Hoover SE. Duration of antibiotics prescribed at hospital discharge. S D Med 2017;70:177–8. - PubMed

[4] Hoover SE. Duration of antibiotics prescribed at hospital discharge. S D Med 2017;70:177–8. - PubMed

[5] Yogo N, Shihadeh K, Young H, et al. Intervention to Reduce Broad-Spectrum Antibiotics and Treatment Durations Prescribed at the Time of Hospital Discharge: A Novel Stewardship Approach. Infect Control Hosp Epidemiol 2017;38:534–41. - PMC - PubMed

[6] Yogo N, Shihadeh K, Young H, et al. Intervention to Reduce Broad-Spectrum Antibiotics and Treatment Durations Prescribed at the Time of Hospital Discharge: A Novel Stewardship Approach. Infect Control Hosp Epidemiol 2017;38:534–41. - PMC - PubMed

[7] Scarpato SJ, Timko DR, Cluzet VC, et al. An Evaluation of Antibiotic Prescribing Practices Upon Hospital Discharge. Infect Control Hosp Epidemiol 2017;38:353–5. - PubMed

[8] Scarpato SJ, Timko DR, Cluzet VC, et al. An Evaluation of Antibiotic Prescribing Practices Upon Hospital Discharge. Infect Control Hosp Epidemiol 2017;38:353–5. - PubMed

[9] Werner NE, Malkana S, Gurses AP, Leff B, Arbaje AI. Toward a process-level view of distributed healthcare tasks: Medication management as a case study. Appl Ergon 2017;65:255–68. - PMC - PubMed

[10] Werner NE, Malkana S, Gurses AP, Leff B, Arbaje AI. Toward a process-level view of distributed healthcare tasks: Medication management as a case study. Appl Ergon 2017;65:255–68. - PMC - PubMed

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

Affiliations

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

Authors

Affiliations

Abstract

Conflict of interest statement

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References

Publication types

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Grants and funding

LinkOut - more resources

Full Text Sources

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Medical