title: Adherence barriers to antimicrobial treatment guidelines in teaching hospital, the Netherlands.
abstract: To optimize appropriate antimicrobial use in a university hospital and identify barriers hampering implementation strategies, physicians were interviewed regarding their opinions on antimicrobial policies. Results indicated that effective strategies should include regular updates of guidelines that incorporate the views of relevant departments and focus on addressing senior staff and residents because residents do not make independent decisions in a teaching-hospital setting.
authors.affiliation: Department of Clinical Pharmacology, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, the Netherlands. p.mol@med.rug.nl
authors.forename: Peter G M
authors.initials: PG
authors.lastname: Mol
authors.forename: Willem J M J
authors.initials: WJ
authors.lastname: Rutten
authors.forename: Rijk O B
authors.initials: RO
authors.lastname: Gans
authors.forename: John E
authors.initials: JE
authors.lastname: Degener
authors.forename: Flora M
authors.initials: FM
authors.lastname: Haaijer-Ruskamp
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001291:Attitude of Health Personnel; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006784:Hospitals, Teaching; D006801:Humans; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'
chemical_list: D000900:Anti-Bacterial Agents