Inpatient clinicians' approach to diagnosis of urinary tract infections in older adults using the COM-B model: a qualitative assessment.

Sonali D Advani Nathan A Boucher Alison G C Smith Connor R Deri Jillian E HayesRebekah WrennKenneth E Schmader

Published in: Antimicrobial stewardship & healthcare epidemiology : ASHE (2024)

Our interviews of inpatient clinicians (physicians, physician assistants) modeled after the Capability, Opportunity, and Motivation Model of Behavior model revealed opportunity and motivation as important drivers for overdiagnosis and overprescribing for asymptomatic bacteriuria in older adults. Understanding these barriers is an important step toward implementing age-friendly stewardship interventions.

Keyphrases

urinary tract infection
palliative care
physical activity
primary care
mental health
emergency department
acute care
quality improvement