Survey finds improvement in cognitive biases that drive overtreatment of asymptomatic bacteriuria after a successful antimicrobial stewardship intervention
Survey finds improvement in cognitive biases that drive overtreatment of asymptomatic bacteriuria after a successful antimicrobial stewardship intervention
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DOI：
10.1016/j.ajic.2016.04.238
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发表时间：
2016-12-01
影响因子：
4.9
通讯作者：
Trautner, Barbara W.
中科院分区：
文献类型：
--
作者：
Grigoryan, Larissa;Naik, Aanand D.;Trautner, Barbara W.
背景：缺乏指南知识和认知偏差是导致导管相关无症状细菌（ASB）过度治疗的障碍。我们探讨了提供者对ASB管理的知识和态度是否在多方面的指南实施干预前后有所不同。方法：我们调查了提供者对指南的知识，认知行为结构，以及自我报告对美国传染病学会相关指南的熟悉程度。在干预地点的干预前（n = 169）和干预后（n = 157）以及在比较地点的干预后（n = 65）对提供者进行调查。结果：在干预现场，平均知识得分在干预后显著上升(从57.5%-69.9%
Background: Lack of guideline knowledge and cognitive biases are barriers that drive overtreatment of catheter-associated asymptomatic bacteriuria (ASB). We explored whether providers' knowledge and attitudes toward management of ASB differed before and after a multifaceted guidelines implementation intervention, reported elsewhere.Methods: We surveyed providers' knowledge of guidelines, cognitive-behavioral constructs, and self-reported familiarity with the relevant Infectious Diseases Society of America guidelines. The survey was administered to providers in the preintervention (n = 169) and postintervention (n = 157) periods at the intervention site and postintervention (n = 65) at the comparison site.Results: At the intervention site, the mean knowledge score increased significantly during the postintervention period (from 57.5%-69.9%; P