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Author Sara Jo Bugeja, Derek Stewart and Helen Vosper |
| Abstract The outpatient parenteral antimicrobial therapy (OPAT) service was developed to cater for hospitalised patients receiving antimicrobial treatment and who are stable enough to be discharged to an outpatient or home setting. The authors have used the Systems Engineering Initiative for Patient Safety (SEIPS) 2.0 as a framework for exploring OPAT performance in the Maltese context. This study investigated the perceptions of the system from the perspective of the OPAT staff. Analysis of the output from a focus group was mapped onto the SEIPS 2.0 framework in order to identify and assess how OPAT work system factors interacted to produce outcomes. Thematic analysis allowed key interactions to be explored. Four key themes were identified: the referral process, training and education, trust and service expansion. Combined with output from a future study phase exploring the patient experience, it is envisaged that these findings will assist in future intelligent redesign of the service. |
