Table 1 Types of non-adherence
Non-adherence step | Reasons or examples |
|---|---|
1. PCT results not available | Blood samples not obtained, loss of IV access, blood sample insufficient for laboratory analysis, PCT machine issues, or results not available for ward rounds |
2. PCT results not considered | If a PCT result was available, protocol requires that it be considered as part of clinical decision-making |
3. PCT algorithm not adhered to | 3a. If the PCT result was considered, protocol does not require clinicians to follow the PCT-guided algorithm. Clinical judgement may override the PCT-guided algorithm. Therefore, non-adherence to the PCT-guided algorithm is consistent with adherence to intervention policy 3b. If the PCT result was available but not considered, clinical judgement may or may not agree with the PCT-guided algorithm. Therefore, non-adherence to the PCT-guided algorithm will also be considered independently of adherence to the intervention policy |