Publication Date
2-20-2024
Degree Awarded Date
December 13, 2024
DOI
n/a
Abstract
Anesthesia clinicians at Barnes Jewish Hospital (BJH) in Saint Louis, Missouri experienced uncertainty and discomfort when they selected preoperative antibiotics for patients who were already receiving concomitant therapeutic antimicrobials (CTA) unrelated to surgical prophylaxis. Various evidence-based interventions were proposed to address this issue. The first intervention was the addition of pathogens of concern to the surgical antimicrobial prophylaxis (SAP) protocol at BJH. The second intervention was the creation of a reference table that supplemented the revised protocol and allowed clinicians to efficiently determine the pathogens of concern for each surgery. This also included the CTAs efficacy for preventing surgical site infections (SSI). Finally, targeted education on the clarified protocol, the reference table, and best practices for antimicrobial stewardship was delivered to anesthesia clinicians in a variety of formats. This project focused on quality improvement interventions in the perioperative setting at BJH, using a mixed-method project design with a sufficient sample size of anesthesia clinicians. The goal was to improve clinician knowledge and confidence with evidence-based antibiotic administration (antimicrobial stewardship). This could lead to fewer complications, such as a reduction in SSIs, costs, and adverse drug events.
Language
English (en)
Document Type
Other
Advisor
Torres, Brian DNP, CRNA (Chair) Barnes Jewish College, Goldfarb School of Nursing
Associated Committee
Wolfe, Rachel PharmD, MHA, BCCP (Committee Member) Washington University School of Medicine in St. Louis
Recommended Citation
Gregson, Garry and Shands, Emily, "Improving Anesthesia Clinicians’ Knowledge and Confidence When Selecting Prophylactic Antimicrobials for Patients on Concomitant Antimicrobial Therapy" (2024). Doctor of Nursing Practice (DNP) Student Projects. Paper 15.
https://digitalcommons.wustl.edu/dnp_golfarb/15
