Skip to main content

Table 3 Anticipated barriers and preconditions for future AF strategies for APM

From: Finding the match between healthcare worker and expert for optimal audit and feedback on antimicrobial resistance prevention measures

Code Sub-code   n Quote
Anticipated barriers APM-AF Difficulties with defining and operationalizing APM quality Contradictive APM goals 11 “Quality for me means that the patient receives proper care”. R(04.05)
APM quality determined by many aspects 4 “It is not only the person that needs to change, there might be other things. You need help from your colleagues, help from the environment; there are various sources that influence your behaviour”. (P17.64)
Linking process and outcome indicators 4 “If someone has become septic after treatment at the department, that might not necessarily be wrong, but a natural course of an illness.” P(13.03)
Difficulties with benchmarking 4 “That would also be good for departments, but then you would have to compare similar departments and that is difficult.” R(04.31)
Information overload 7 “Because there is an overkill. There is so much information, you get feedback on too many things”. N(16.49)
Registration burden 3 “For the quality it would be better if the doctor would not have to spend all the time on registering and controlling infection control measures, but if you want to do it properly, I suppose that is all in the game.” R(04.06)
Measuring for the sake of measuring 5 “Look, a lot is being measured, but that does not necessarily lead to better care.” R(04.34)
Preconditions APM-AF (Cost)-effectiveness of APM-interventions 8 “Costs also play a role, especially at this time. It should be cost-effective. Also, if it would require a lot of effort resulting in a relatively small result, then you really should consider the usefulness” P(05.59)
Cultural safety 10 “Providing and receiving feedback is just difficult. You have to have a professional attitude”. P(17.58)
  1. P physician, R resident, N nurse