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báo cáo khoa học: "A hospital-site controlled intervention using audit and feedback to implement guidelines concerning inappropriate treatment of catheterassociated asymptomatic bacteriuria"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A hospital-site controlled intervention using audit and feedback to implement guidelines concerning inappropriate treatment of catheterassociated asymptomatic bacteriuria | Implementation Science IMPLEMENTATION SCIENCE EiẫỉSỉĩ Kicking CAUTI The No Knee-Jerk Antibiotics Campaign A hospital-site controlled intervention using audit and feedback to implement guidelines concerning inappropriate treatment of catheter-associated asymptomatic bacteriuria Trautner et al. Trautner et al. Implementation Science 2011 6 41 http www.implementationscience.com content 6 1 41 22 April 2011 2 BioMed Central Trautner et al. Implementation Science 2011 6 41 http www.implementationscience.eom content 6 1 41 Implementation Science IMPLEMENTATION SCIENCE STUDY PROTOCOL Open Access A hospital-site controlled intervention using audit and feedback to implement guidelines concerning inappropriate treatment of catheter-associated asymptomatic bacteriuria 1.2 1.3.4 1.2 1.2 1 2 Barbara W Trautner P Adam Kelly Nancy Petersen Sylvia Hysong Harrison Kell Kershena S Liao Jan E Patterson5 and Aanand D Naik1 2 Abstract Background Catheter-associated urinary tract infection CAUTI is one of the most common hospital-acquired infections. However many cases treated as hospital-acquired CAUTI are actually asymptomatic bacteriuria ABU . Evidence-based guidelines recommend that providers neither screen for nor treat ABU in most catheterized patients but there is a significant gap between these guidelines and clinical practice. Our objectives are 1 to evaluate the effectiveness of an audit and feedback intervention for increasing guideline-concordant care concerning catheter-associated ABU and 2 to measure improvements in healthcare providers knowledge of and attitudes toward the practice guidelines associated with the intervention. Methods Design The study uses a controlled pre post design to test an intervention using audit and feedback of healthcare providers to improve their compliance with ABU guidelines. The intervention and the control sites are two VA hospitals. For objective 1 we will review medical records to measure the clinical outcomes of inappropriate screening for