Barriers and Facilitators to the Implementation of the Early-Onset Sepsis Calculator

Prior studies demonstrated the neonatal early-onset sepsis (EOS) calculator's potential in drastically reducing antibiotic prescriptions, and its international adoption is increasing rapidly. To optimize the EOS calculator's impact, successful implementation is crucial. This study aimed to identify key barriers and facilitators to inform an implementation strategy. A multicenter cross-sectional survey was carried out among physicians, residents, nurses and clinical obstetricians of thirteen Dutch hospitals. Survey development was prepared through a literature search and stakeholder interviews. Data collection and analysis were based on the Consolidated Framework for Implementation Research (CFIR). A total of 465 stakeholders completed the survey. The main barriers concerned the expectance of the department's capacity problems and the issues with maternal information transfer between departments. Facilitators concerned multiple relative advantages of the EOS calculator, including stakeholder education, EOS calculator integration in the electronic health record and existing positive expectations about the safety and effectivity of the calculator. Based on these findings, tailored implementation interventions can be developed, such as identifying early adopters and champions, conducting educational meetings tailored to the target group, creating ready-to-use educational materials, integrating the EOS calculator into electronic health records, creating a culture of collective responsibility among departments and collecting data to evaluate implementation success and innovation results

Calculator · Data collection · Early adopter · Implementation research · Medical education · Medical prescription · Political science · Psychological intervention · Public relations · Stakeholder · Computer Science · Health Policy Implementation Science · Medicine · Nursing · Primary Care and Health Outcomes · Sepsis Diagnosis and Treatment

• The updated Consolidated Framework for Implementation Research based on user feedback

  Open Access•Laura J Damschroder, Caitlin M Reardon et al.•Implementation Science•2022

  Incluir item

• From best evidence to best practice

  Open Access•Richard Grol, Jeremy M Grimshaw et al.•The Lancet•2003

  Incluir item

• The Quality of Health Care Delivered to Adults in the United States

  ELIZABETH A MCGLYNN, Steven M Asch et al.•New England Journal of Medicine•2003

  Incluir item

• Fostering implementation of health services research findings into practice

  Open Access•Laura J Damschroder, David C Aron et al.•Implementation Science•2009

  Incluir item

• Diffusion of Innovations in Service Organizations

  Open Access•Trisha Greenhalgh, Glenn Robert et al.•Milbank Quarterly•2004

  Incluir item

• Response rates in postal surveys of healthcare professionals between 1996 and 2005

  Open Access•Julia V Cook, Heather O Dickinson et al.•BMC Health Services Research•2009

  Incluir item

• Successes and Failures in the Implementation of Evidence-Based Guidelines for Clinical Practice

  Richard Grol•Medical Care•2001

  Incluir item