scholarly journals Mixed-Methods Pilot Study to Assess Perceptions of Antimicrobial Stewardship in Nursing Homes

2017 ◽  
Vol 65 (5) ◽  
pp. 1073-1078 ◽  
Author(s):  
Rebecca R. Carter ◽  
Michelle M. Montpetite ◽  
Robin L. P. Jump
Keyword(s):  
Mixed Methods ◽  
Pilot Study ◽  
Nursing Homes ◽  
Antimicrobial Stewardship

scholarly journals Complementary medicine in nursing homes - results of a mixed methods pilot study

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Miriam Ortiz ◽  
Eva Soom Ammann ◽  
Corina Salis Gross ◽  
Katharina Schnabel ◽  
Torsten Walbaum ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Pilot Study ◽  
Nursing Homes ◽  
Complementary Medicine

Do paramedic students have situational awareness during high-fidelity simulation? A mixed-methods pilot study

2021 ◽  
Vol 56 ◽  
pp. 100983
Author(s):  
Justin Hunter ◽  
Michael Porter ◽  
Andy Phillips ◽  
Melissa Evans-Brave ◽  
Brett Williams
Keyword(s):  
Mixed Methods ◽  
Pilot Study ◽  
Situational Awareness ◽  
High Fidelity ◽  
High Fidelity Simulation

scholarly journals An Australian mixed methods pilot study exploring students performing patient risk screening

2015 ◽  
Vol 18 (2) ◽  
pp. 203-209 ◽  
Author(s):  
Simone J Gibson ◽  
Janet Golder ◽  
Robyn P Cant ◽  
Zoe E Davidson
Keyword(s):  
Mixed Methods ◽  
Pilot Study ◽  
Patient Risk ◽  
Risk Screening

scholarly journals The Impact of Enhanced Antimicrobial Stewardship Support on Antibiotic Starts in Long-Term Care Facilities

2020 ◽  
Vol 41 (S1) ◽  
pp. s527-s527
Author(s):  
Gabriela Andujar-Vazquez ◽  
Kirthana Beaulac ◽  
Shira Doron ◽  
David R Snydman
Keyword(s):  
Public Health ◽  
Pilot Study ◽  
Infection Control ◽  
Antimicrobial Stewardship ◽  
Long Term Care ◽  
Medical Center ◽  
Term Care ◽  
Care Facilities ◽  
The Impact

Background: The Tufts Medical Center Antimicrobial Stewardship (ASP) Team has partnered with the Massachusetts Department of Public Health (MDPH) to provide broad-based educational programs (BBEP) to long-term care facilities (LTCFs) in an effort to improve ASP and infection control practices. LTCFs have consistently expressed interest in individualized and hands-on involvement by ASP experts, yet they lack resources. The goal of this study was to determine whether “enhanced” individualized guidance provided by an ASP expert would lead to antibiotic start decreases in LTCFs participating in our pilot study. Methods: A pilot study was conducted to test the feasibility and efficacy of providing enhanced ASP and infection control practices to LTCFs. In total, 10 facilities already participating in MDPH BBEP and submitting monthly antibiotic start data were enrolled, were stratified by bed size and presence of dementia unit, and were randomized 1:1 to the “enhanced” group (defined as reviewing protocols and antibiotic start cases, providing lectures and feedback to staff and answering questions) versus the “nonenhanced” group. Antibiotic start data were validated and collected prospectively from January 2018 to July 2019, and the interventions began in April 2019. Due to staff turnover and lack of engagement, intervention was not possible in 2 of the 5 LTCFs randomized to the enhanced group, which were therefore analyzed as a nonenhanced group. An incidence rate ratios (IRRs) with 95% CIs were calculated comparing the antibiotic start rate per 1,000 resident days between periods in the pilot groups. Results: The average bed sizes for enhanced groups versus nonenhanced groups were 121 (±71.0) versus 108 (±32.8); the average resident days per facility per month were 3,415.7 (±2,131.2) versus 2,911.4 (±964.3). Comparatively, 3 facilities in the enhanced group had dementia unit versus 4 in the nonenhanced group. In the per protocol analysis, the antibiotic start rate in the enhanced group before versus after the intervention was 11.35 versus 9.41 starts per 1,000 resident days (IRR, 0.829; 95% CI, 0.794–0.865). The antibiotic start rate in the nonenhanced group before versus after the intervention was 7.90 versus 8.23 antibiotic starts per 1,000 resident days (IRR, 1.048; 95% CI, 1.007–1.089). Physician hours required for ASP for the enhanced group totaled 8.9 (±2.2) per facility per month. Conclusions: Although the number of hours required for intervention by an expert was not onerous, maintaining engagement proved difficult and in 2 facilities could not be achieved. A statistically significant 20% decrease in the antibiotic start rate was achieved in the enhanced group after interventions, potentially reflecting the benefit of enhanced ASP support by an expert.Funding: This study was funded by the Leadership in Epidemiology, Antimicrobial Stewardship, and Public Health (LEAP) fellowship training grant award from the CDC.Disclosures: None

scholarly journals Impact of Race and Sex on Pain Management by Medical Trainees: A Mixed Methods Pilot Study of Decision Making and Awareness of Influence

Pain Medicine ◽  
2015 ◽  
Vol 16 (2) ◽  
pp. 280-290 ◽  
Author(s):  
Nicole A. Hollingshead ◽  
Marianne S. Matthias ◽  
Matthew J. Bair ◽  
Adam T. Hirsh
Keyword(s):  
Decision Making ◽  
Mixed Methods ◽  
Pain Management ◽  
Pilot Study ◽  
Medical Trainees

scholarly journals Respiratory health screening for opiate misusers in a specialist community clinic: a mixed-methods pilot study, with integrated staff and service user feedback

BMJ Open ◽  
2016 ◽  
Vol 6 (10) ◽  
pp. e012823 ◽  
Author(s):  
Caroline Anne Mitchell ◽  
Alice Pitt ◽  
Joe Hulin ◽  
Rod Lawson ◽  
Fleur Ashby ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Pilot Study ◽  
Service User ◽  
Respiratory Health ◽  
Health Screening ◽  
User Feedback ◽  
Community Clinic
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