Publication Date
4-28-2026
Degree Awarded Date
December 18, 2026
Abstract
: Background and Review of Literature: Antibiotics are essential for preventing surgical site infections (SSIs), but improper selection can contribute to antimicrobial resistance, increased costs, and patient harm. Studies show that clinical decision support (CDS) tools can improve antibiotic prescribing practices using evidence-based guidelines. Purpose: This project aimed to integrate a revised CDS tool into the workflow of a anesthesia clinicians at a midwestern academic medical center, incorporating allergy-specific guidelines and antimicrobial substitution recommendations for patients on concomitant therapeutic antimicrobials (CTA) to improve decision-making. Methods: This project used pre- and post-surveys to assess clinicians’ knowledge, confidence, and satisfaction in selecting antimicrobial prophylaxis using the updated guidelines. Statistical analysis included t-tests and ANOVA, with reliability assessed using Cronbach’s alpha.
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, BCCCP (Member) Washington University School of Medicine in St. Louis
Recommended Citation
Rangel, Nicholas; Williams, Michela; and Theisen, Amber, "Enhancing Anesthesia Clinicians’ Knowledge and Confidence in Prophylactic Antibiotic Selection for Patients Receiving Concomitant Therapeutic Antimicrobials" (2026). Doctor of Nursing Practice (DNP) Student Projects. Paper 29.
Retrieved from https://digitalcommons.wustl.edu/dnp_golfarb/29
