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

Kathryn Burnett, Michael Scott, Patricia Kearney, George Humphreys, Robert Devlin

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

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.
LanguageEnglish
Pages182-187
JournalPharmacy World and Science
Volume24
Issue number5
Publication statusPublished - 1 May 2002

Fingerprint

Outcome Assessment (Health Care)
Cholecystectomy
Anti-Infective Agents
Hysterectomy
Guidelines
Therapeutics

Keywords

  • Compliance
  • Implementation
  • Prophylaxis
  • Protocol
  • Surgery

Cite this

Burnett, Kathryn ; Scott, Michael ; Kearney, Patricia ; Humphreys, George ; Devlin, Robert. / The identification of barriers preventing the successful implementation of a surgical prophylaxis protocol. In: Pharmacy World and Science. 2002 ; Vol. 24, No. 5. pp. 182-187.
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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; Devlin, Robert.

In: Pharmacy World and Science, Vol. 24, No. 5, 01.05.2002, p. 182-187.

Research output: Contribution to journalArticle

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AU - Kearney, Patricia

AU - Humphreys, George

AU - Devlin, Robert

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N2 - 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.

AB - 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.

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