Perioperative antimicrobial decision making: Focused ethnography study in orthopedic and cardiothoracic surgeries in an Australian hospital.
Trisha N PeelEliza WatsonKelly CairnsHo Yin Ashley LamHeidi Zhangrong LiGanan RavindranJayan SeneviratneDavid DalySusan LiewDavid McGiffinPaul MylesDarshini AytonPublished in: Infection control and hospital epidemiology (2021)
Approaches to decision making in surgery are highly structured. Although this structure appears to facilitate smooth flow of responsibility, more junior members of the staff may be disempowered. In addition, opportunities for shared decision making with patients were limited. Antimicrobial stewardship programs need to recognize the hierarchal structure as well as opportunities to engage the patient in shared decision making.
Keyphrases
- decision making
- end stage renal disease
- newly diagnosed
- ejection fraction
- minimally invasive
- staphylococcus aureus
- public health
- prognostic factors
- peritoneal dialysis
- case report
- cardiac surgery
- emergency department
- patient reported outcomes
- atrial fibrillation
- adverse drug
- electronic health record
- long term care
- percutaneous coronary intervention
- drug induced
- high school