en
Scientific article
Open access
English

Factors determining the adherence to antimicrobial guidelines and the adoption of computerised decision support systems by physicians: A qualitative study in three European hospitals

Published inInternational Journal of Medical Informatics, vol. 141, 104233
Publication date2020
Abstract

Antimicrobial stewardship (AMS) programs aim to optimize antibiotic use and reduce inappropriate prescriptions through a panel of interventions. The implementation of clinical guidelines is a core strategy of AMS programs. Nevertheless, their dissemination and application remain low. Computerised decision support systems (CDSSs) offer new opportunities for semi-automated dissemination of guidelines. This qualitative study aimed at gaining an in-depth understanding of the determinants of adherence to antimicrobial prescribing guidelines and CDSSs adoption and is part of a larger project, the COMPASS trial, which aims to assess a CDSS for antimicrobial prescription. The final objective of this qualitative study is to 1) provide insights from end-users to assist in the design of the COMPASS CDSS, and to 2) help with the interpretation of the quantitative findings of the randomised controlled trial assessing the COMPASS CDSS, once data will be analysed.

Keywords
  • Antimicrobial stewardship
  • Antimicrobial guidelines
  • Computerised decision support system
  • Medical informatics
  • Qualitative methodology
  • Semi-structured interview
Funding
  • Swiss National Science Foundation - 167079
Citation (ISO format)
CATHO, Gaud et al. Factors determining the adherence to antimicrobial guidelines and the adoption of computerised decision support systems by physicians: A qualitative study in three European hospitals. In: International Journal of Medical Informatics, 2020, vol. 141, p. 104233. doi: 10.1016/j.ijmedinf.2020.104233
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Article (Published version)
Secondary files (1)
Identifiers
ISSN of the journal1386-5056
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Technical informations

Creation10/13/2020 9:53:00 AM
First validation10/13/2020 9:53:00 AM
Update time03/16/2023 12:05:29 AM
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