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The identification of barriers preventing the successful implementation of a surgical prophylaxis protocol

Burnett, Kathryn, Scott, Michael, Kearney, Patricia, Humphreys, George and Devlin, Robert (2002) The identification of barriers preventing the successful implementation of a surgical prophylaxis protocol. Pharmacy World and Science, 24 (5). pp. 182-187. [Journal article]

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Aim: The aim of this study was to introduce a protocol for the use of antimicrobials in surgical prophylaxcis for the described procedures in Antrim Area Hospital.Method: Historical data of antimicrobial use were obtained from retrospective analysis of patients' charts, for those patients identified as having one of teh following 'clean / contaminated' surgical procedures over the previous six months; cholecystectomy or abdominal hysterectomy. These data were analysed, and a protocol was introduced providing guidelines for the choice of antimicrobial agent, its administration time, route, dose, duration and frequency of treatment.Main outcome measure: The main outcome measure was the success of the uptake of the protocol following its implementation.Results: There was a total of 285 patients identified, 105 prior to and 180 post implementation. Overall 68% of patients received some form of prophylaxis in the first cycle, and 72% in the second.Conclusion: Although the introduction of the protocol led to slight improvements in compliance with standard prescribing procedures, with an increase in single-dose prophylaxis, and a reduction in prolonged prophylactic treatment, teh improvements did not reach expectations. This paper attempts to identify the possible barriers to protocol implementation.

Item Type:Journal article
Keywords:Compliance, Implementation, Prophylaxis, Protocol, Surgery
Faculties and Schools:Faculty of Life and Health Sciences > School of Pharmacy and Pharmaceutical Science
Faculty of Life and Health Sciences
Research Institutes and Groups:Biomedical Sciences Research Institute
Biomedical Sciences Research Institute > Pharmacy & Pharmaceutical Sciences
ID Code:3422
Deposited By: Dr Kathryn Burnett
Deposited On:15 Dec 2009 10:14
Last Modified:19 Nov 2012 14:52

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