Characterizing barriers to antibiotic stewardship for skin and soft-tissue infections in the emergency department using a systems engineering framework.

ABSTRACT:

Objective

Skin and soft-tissue infections (SSTIs) account for 3% of all emergency department (ED) encounters and are frequently associated with inappropriate antibiotic prescribing. We characterized barriers and facilitators to optimal antibiotic use for SSTIs in the ED using a systems engineering framework and matched them with targeted stewardship interventions.

Design and participants

We conducted semistructured interviews with a purposefully selected sample of emergency physicians.

Methods

An interview guide was developed using the Systems Engineering Initiative for Patient Safety (SEIPS) framework. Interviews were recorded, transcribed, and analyzed iteratively until conceptual saturation was achieved. Themes were identified using deductive directed content analy

SUBMITTER: Pulia MS 

PROVIDER: S-EPMC9641503 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature