Shared Decision-making and Antimicrobial Stewardship in Secondary Care
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: None - Interview Only.
- Who it may be relevant to
- Registry conditions: Antibiotic Prescribing is the Study Focus (no Condition). Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United Kingdom
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Shared Decision-making and Antimicrobial Stewardship in Secondary Care: Exploring Opportunities Along the Start Smart Then Focus Patient Pathway
Overview
To identify opportunities for antibiotic prescribing shared decision making between patients and prescribers in secondary care.
Detailed description
This is a qualitative study with patients and clinicians in secondary care.
We will use semi-structured interviews with patients and clinicians to address the research question. Patients that have received antibiotics during a recent inpatient stay will be identified using the hospital electronic prescribing system and a letter inviting study participation will be included in their discharge medication pack. Senior prescribing decision makers will be recruited from participating hospitals. In total, we hope to carry out up to 50 interviews with patients and clinicians.
Interventions
- Other None - Interview Only
None - Interview Only
Primary outcome measures
- Patient and prescriber views and experiences with shared decision making (SDM) around antibiotic prescribing in secondary care and to identify further opportunities for SDM. [Time frame: 1 year]
Eligibility criteria
Inclusion criteria
For clinicians:
- Participant is willing and able to give informed consent for participation in the study.
- Senior registrar or consultant medical or surgical doctor working at participating hospitals and caring for inpatients.
- Fluent in English.
For patients:
- Participant is willing and able to give informed consent for participation in the study.
- Male or Female, aged 16 years or above (no upper age limit).
- Good standard of speaking English and able to read and understand study materials.
- Received antibiotic for treatment of suspected or confirmed bacterial infection during inpatient stay.
Exclusion criteria
- For clinicians:
- Prescribers not currently caring for inpatients
For patients:
- Patient who received prophylaxis antibiotics only
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Observational model
- Other
Study locations
United Kingdom · 2 centers
- Royal Cornwall Hospital — Truro
- Chelsea and Westminster Hospital — Truro
Identifiers
NCT: NCT06605820 · 2023.RCHT.05