A survey to identify barriers of implementing an antibiotic checklist

A checklist is an effective implementation tool, but addressing barriers that might impact on the effectiveness of its use is crucial. In this paper, we explore barriers to the uptake of an antibiotic checklist that aims to improve antibiotic use in daily hospital care. We performed an online questi...

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Bibliographic Details
Published in:European journal of clinical microbiology & infectious diseases 2016-04, Vol.35 (4), p.545-553
Main Authors: van Daalen, F. V., Geerlings, S. E., Prins, J. M., Hulscher, M. E. J. L.
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - therapeutic use
Antibiotics
Antimicrobial agents
Bacterial infections
Bacterial Infections - drug therapy
Biomedical and Life Sciences
Biomedicine
Checklist - utilization
Drug Therapy - standards
Hospitals
Humans
Internal Medicine
Medical Microbiology
Netherlands
Nosocomial infections
Original
Original Article
Physicians
Questionnaires
Surveys and Questionnaires
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Summary:A checklist is an effective implementation tool, but addressing barriers that might impact on the effectiveness of its use is crucial. In this paper, we explore barriers to the uptake of an antibiotic checklist that aims to improve antibiotic use in daily hospital care. We performed an online questionnaire survey among medical specialists and residents with various professional backgrounds from nine Dutch hospitals. The questionnaire consisted of 23 statements on anticipated barriers hindering the uptake of the checklist. Furthermore, it gave the possibility to add comments. We included 219 completed questionnaires (122 medical specialists and 97 residents) in our descriptive analysis. The top six anticipated barriers included: (1) lack of expectation of improvement of antibiotic use, (2) lack of expected patients’ satisfaction by checklist use, (3) lack of feasibility of the checklist, (4) negative previous experiences with other checklists, (5) the complexity of the antibiotic checklist and (6) lack of nurses’ expectation of checklist use. Remarkably, 553 comments were made, mostly (436) about the content of the checklist. These insights can be used to improve the specific content of the checklist and to develop an implementation strategy that addresses the identified barriers.
ISSN:0934-9723
1435-4373
DOI:10.1007/s10096-015-2569-5