{"id":"https://openalex.org/W7225301540","doi":"https://doi.org/10.1093/jacamr/dlag244","title":"Closing the loop: a needs-assessment informed model for embedding a non-allergist penicillin allergy de-labelling service in acute medicine, a quality improvement report","display_name":"Closing the loop: a needs-assessment informed model for embedding a non-allergist penicillin allergy de-labelling service in acute medicine, a quality improvement report","publication_year":2026,"publication_date":"2026-10-20","ids":{"openalex":"https://openalex.org/W7225301540","doi":"https://doi.org/10.1093/jacamr/dlag244","pmid":"https://pubmed.ncbi.nlm.nih.gov/42991575","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13736110"},"language":"en","primary_location":{"id":"doi:10.1093/jacamr/dlag244","doi":"https://doi.org/10.1093/jacamr/dlag244","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jacamr/dlag244","pdf_url":"https://academic.oup.com/jacamr/article-pdf/8/6/dlag244/73100203/dlag244.pdf","source":{"id":"https://openalex.org/S4210190703","display_name":"JAC-Antimicrobial Resistance","issn_l":"2632-1823","issn":["2632-1823"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAC-Antimicrobial Resistance","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://academic.oup.com/jacamr/article-pdf/8/6/dlag244/73100203/dlag244.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5126366137","display_name":"Philip Toner","orcid":"https://orcid.org/0009-0007-9421-362X","observed_orcids":["https://orcid.org/0009-0007-9421-362X"]},"institutions":[{"id":"https://openalex.org/I126231945","display_name":"Queen's University Belfast","ror":"https://ror.org/00hswnk62","country_code":"GB","type":"education","lineage":["https://openalex.org/I126231945"]},{"id":"https://openalex.org/I1289110261","display_name":"Belfast Health and Social Care Trust","ror":"https://ror.org/02tdmfk69","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261"]},{"id":"https://openalex.org/I4210130048","display_name":"Royal Victoria Hospital","ror":"https://ror.org/03rq50d77","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Philip Toner","raw_affiliation_strings":["Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,","Centre for Medical Education, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast , 97 Lisburn Road, Belfast, Northern Ireland ,"],"raw_orcid":"https://orcid.org/0009-0007-9421-362X","affiliations":[{"raw_affiliation_string":"Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,","institution_ids":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]},{"raw_affiliation_string":"Centre for Medical Education, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast , 97 Lisburn Road, Belfast, Northern Ireland ,","institution_ids":["https://openalex.org/I126231945"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160924536","display_name":"Annabel Glass","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1289110261","display_name":"Belfast Health and Social Care Trust","ror":"https://ror.org/02tdmfk69","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Annabel Glass","raw_affiliation_strings":["Pharmacy Department, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pharmacy Department, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,","institution_ids":["https://openalex.org/I1289110261"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160815284","display_name":"Cathal Donnelly","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1289110261","display_name":"Belfast Health and Social Care Trust","ror":"https://ror.org/02tdmfk69","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261"]},{"id":"https://openalex.org/I4210130048","display_name":"Royal Victoria Hospital","ror":"https://ror.org/03rq50d77","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Cathal Donnelly","raw_affiliation_strings":["Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,","institution_ids":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044630494","display_name":"Katherine Garnett","orcid":"https://orcid.org/0000-0003-1135-6478","observed_orcids":["https://orcid.org/0000-0003-1135-6478"]},"institutions":[{"id":"https://openalex.org/I1289110261","display_name":"Belfast Health and Social Care Trust","ror":"https://ror.org/02tdmfk69","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261"]},{"id":"https://openalex.org/I4210130048","display_name":"Royal Victoria Hospital","ror":"https://ror.org/03rq50d77","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Katherine Garnett","raw_affiliation_strings":["Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,","institution_ids":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160980026","display_name":"Mark Mchaffie","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1289110261","display_name":"Belfast Health and Social Care Trust","ror":"https://ror.org/02tdmfk69","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261"]},{"id":"https://openalex.org/I4210130048","display_name":"Royal Victoria Hospital","ror":"https://ror.org/03rq50d77","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Mark Mchaffie","raw_affiliation_strings":["Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,","institution_ids":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160750179","display_name":"Sean Quinn","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1289110261","display_name":"Belfast Health and Social Care Trust","ror":"https://ror.org/02tdmfk69","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261"]},{"id":"https://openalex.org/I4210130048","display_name":"Royal Victoria Hospital","ror":"https://ror.org/03rq50d77","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Sean Quinn","raw_affiliation_strings":["Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,","institution_ids":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160851427","display_name":"Christopher Hillen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1289110261","display_name":"Belfast Health and Social Care Trust","ror":"https://ror.org/02tdmfk69","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261"]},{"id":"https://openalex.org/I4210130048","display_name":"Royal Victoria Hospital","ror":"https://ror.org/03rq50d77","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Christopher Hillen","raw_affiliation_strings":["Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,","institution_ids":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050358970","display_name":"Jonathan Mullan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1289110261","display_name":"Belfast Health and Social Care Trust","ror":"https://ror.org/02tdmfk69","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261"]},{"id":"https://openalex.org/I4210130048","display_name":"Royal Victoria Hospital","ror":"https://ror.org/03rq50d77","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Jonathan Mullan","raw_affiliation_strings":["Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,","institution_ids":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109742079","display_name":"Yazan Hani Mustafa","orcid":"https://orcid.org/0009-0007-1469-7274","observed_orcids":["https://orcid.org/0009-0007-1469-7274"]},"institutions":[{"id":"https://openalex.org/I1289110261","display_name":"Belfast Health and Social Care Trust","ror":"https://ror.org/02tdmfk69","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261"]},{"id":"https://openalex.org/I4210130048","display_name":"Royal Victoria Hospital","ror":"https://ror.org/03rq50d77","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Yazan H Mustafa","raw_affiliation_strings":["Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,","institution_ids":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160747227","display_name":"Connor Maguire","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1289110261","display_name":"Belfast Health and Social Care Trust","ror":"https://ror.org/02tdmfk69","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261"]},{"id":"https://openalex.org/I4210130048","display_name":"Royal Victoria Hospital","ror":"https://ror.org/03rq50d77","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Connor Maguire","raw_affiliation_strings":["Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,","institution_ids":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160877881","display_name":"Sean Faulkner","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I126231945","display_name":"Queen's University Belfast","ror":"https://ror.org/00hswnk62","country_code":"GB","type":"education","lineage":["https://openalex.org/I126231945"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Sean Faulkner","raw_affiliation_strings":["Centre for Medical Education, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast , 97 Lisburn Road, Belfast, Northern Ireland ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Medical Education, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast , 97 Lisburn Road, Belfast, Northern Ireland ,","institution_ids":["https://openalex.org/I126231945"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5129233739","display_name":"Bernice Ng","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1289110261","display_name":"Belfast Health and Social Care Trust","ror":"https://ror.org/02tdmfk69","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261"]},{"id":"https://openalex.org/I4210130048","display_name":"Royal Victoria Hospital","ror":"https://ror.org/03rq50d77","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Bernice Ng","raw_affiliation_strings":["Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,","institution_ids":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5083831066","display_name":"A. J. Brady","orcid":"https://orcid.org/0000-0001-9221-7562","observed_orcids":["https://orcid.org/0000-0001-9221-7562"]},"institutions":[{"id":"https://openalex.org/I126231945","display_name":"Queen's University Belfast","ror":"https://ror.org/00hswnk62","country_code":"GB","type":"education","lineage":["https://openalex.org/I126231945"]},{"id":"https://openalex.org/I1289110261","display_name":"Belfast Health and Social Care Trust","ror":"https://ror.org/02tdmfk69","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261"]},{"id":"https://openalex.org/I4210130048","display_name":"Royal Victoria Hospital","ror":"https://ror.org/03rq50d77","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Aaron Brady","raw_affiliation_strings":["Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,","Pharmacy Department, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,","School of Pharmacy, Queen's University Belfast , 97 Lisburn Road, Belfast, Northern Ireland ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Acute Medical Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,","institution_ids":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]},{"raw_affiliation_string":"Pharmacy Department, Belfast Health and Social Care Trust , Grosvenor Road, Belfast, Northern Ireland ,","institution_ids":["https://openalex.org/I1289110261"]},{"raw_affiliation_string":"School of Pharmacy, Queen's University Belfast , 97 Lisburn Road, Belfast, Northern Ireland ,","institution_ids":["https://openalex.org/I126231945"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5126366137"],"corresponding_institution_ids":["https://openalex.org/I126231945","https://openalex.org/I1289110261","https://openalex.org/I4210130048"],"apc_list":{"value":1978,"currency":"GBP","value_usd":2609},"apc_paid":{"value":1978,"currency":"GBP","value_usd":2609},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.81122191,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"8","issue":"6","first_page":"dlag244","last_page":"dlag244"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11117","display_name":"Drug-Induced Adverse Reactions","score":0.3910999894142151,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11117","display_name":"Drug-Induced Adverse Reactions","score":0.3910999894142151,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.09889999777078629,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.08330000191926956,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acute-medical-unit","display_name":"acute medical unit","score":0.6830000281333923},{"id":"https://openalex.org/keywords/needs-assessment","display_name":"needs assessment","score":0.7110000252723694},{"id":"https://openalex.org/keywords/behavior-change-wheel","display_name":"Behaviour Change Wheel","score":0.7689999938011169},{"id":"https://openalex.org/keywords/multidisciplinary-team","display_name":"multidisciplinary team","score":0.6439999938011169},{"id":"https://openalex.org/keywords/antibiotic-prescribing","display_name":"antibiotic prescribing","score":0.5929999947547913}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6826000213623047},{"id":"https://openalex.org/C2777512617","wikidata":"https://www.wikidata.org/wiki/Q1783605","display_name":"Staffing","level":2,"score":0.6366000175476074},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.5170000195503235},{"id":"https://openalex.org/C22467394","wikidata":"https://www.wikidata.org/wiki/Q849359","display_name":"Multidisciplinary approach","level":2,"score":0.48510000109672546},{"id":"https://openalex.org/C2778775528","wikidata":"https://www.wikidata.org/wiki/Q5135432","display_name":"Closing (real estate)","level":2,"score":0.45339998602867126},{"id":"https://openalex.org/C201305675","wikidata":"https://www.wikidata.org/wiki/Q852998","display_name":"Stakeholder","level":2,"score":0.4487999975681305},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.43860000371932983},{"id":"https://openalex.org/C174802600","wikidata":"https://www.wikidata.org/wiki/Q12190","display_name":"Penicillin","level":3,"score":0.412200003862381},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.4018000066280365},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.3831000030040741},{"id":"https://openalex.org/C44280652","wikidata":"https://www.wikidata.org/wiki/Q104837","display_name":"Phase (matter)","level":2,"score":0.37540000677108765},{"id":"https://openalex.org/C108516343","wikidata":"https://www.wikidata.org/wiki/Q189553","display_name":"Otorhinolaryngology","level":2,"score":0.36079999804496765},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.35019999742507935},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.33649998903274536},{"id":"https://openalex.org/C2779708577","wikidata":"https://www.wikidata.org/wiki/Q201928","display_name":"Amoxicillin","level":3,"score":0.33320000767707825},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.328000009059906},{"id":"https://openalex.org/C2777352838","wikidata":"https://www.wikidata.org/wiki/Q5419420","display_name":"Excellence","level":2,"score":0.32659998536109924},{"id":"https://openalex.org/C2910117706","wikidata":"https://www.wikidata.org/wiki/Q30314962","display_name":"Penicillin allergy","level":4,"score":0.3249000012874603},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.32339999079704285},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.3003000020980835},{"id":"https://openalex.org/C140781008","wikidata":"https://www.wikidata.org/wiki/Q1221081","display_name":"Service quality","level":3,"score":0.2978000044822693},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.29499998688697815},{"id":"https://openalex.org/C122637931","wikidata":"https://www.wikidata.org/wiki/Q118084","display_name":"Unit (ring theory)","level":2,"score":0.2919999957084656},{"id":"https://openalex.org/C2911146124","wikidata":"https://www.wikidata.org/wiki/Q19903321","display_name":"Antibiotic Stewardship","level":4,"score":0.29030001163482666},{"id":"https://openalex.org/C207480886","wikidata":"https://www.wikidata.org/wiki/Q42982","display_name":"Allergy","level":2,"score":0.28209999203681946},{"id":"https://openalex.org/C2780385302","wikidata":"https://www.wikidata.org/wiki/Q367158","display_name":"Protocol (science)","level":3,"score":0.2694999873638153},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.26820001006126404},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.2655999958515167},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.26489999890327454},{"id":"https://openalex.org/C184356942","wikidata":"https://www.wikidata.org/wiki/Q830382","display_name":"Best practice","level":2,"score":0.2624000012874603}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1093/jacamr/dlag244","doi":"https://doi.org/10.1093/jacamr/dlag244","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jacamr/dlag244","pdf_url":"https://academic.oup.com/jacamr/article-pdf/8/6/dlag244/73100203/dlag244.pdf","source":{"id":"https://openalex.org/S4210190703","display_name":"JAC-Antimicrobial Resistance","issn_l":"2632-1823","issn":["2632-1823"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAC-Antimicrobial Resistance","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13736110","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13736110/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13736110/pdf/dlag244.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAC Antimicrob Resist","raw_type":"Text"},{"id":"pmid:42991575","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42991575","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAC-antimicrobial resistance","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1093/jacamr/dlag244","doi":"https://doi.org/10.1093/jacamr/dlag244","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jacamr/dlag244","pdf_url":"https://academic.oup.com/jacamr/article-pdf/8/6/dlag244/73100203/dlag244.pdf","source":{"id":"https://openalex.org/S4210190703","display_name":"JAC-Antimicrobial Resistance","issn_l":"2632-1823","issn":["2632-1823"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAC-Antimicrobial Resistance","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9940000176429749,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225301540.pdf","grobid_xml":"https://content.openalex.org/works/W7225301540.grobid-xml"},"referenced_works_count":32,"referenced_works":["https://openalex.org/W1979290264","https://openalex.org/W2096270055","https://openalex.org/W2136608905","https://openalex.org/W2262671496","https://openalex.org/W2510405031","https://openalex.org/W2597835316","https://openalex.org/W2761017407","https://openalex.org/W2783030503","https://openalex.org/W2810697168","https://openalex.org/W2909667144","https://openalex.org/W2938255079","https://openalex.org/W2943625371","https://openalex.org/W2952347662","https://openalex.org/W2989653661","https://openalex.org/W2995382299","https://openalex.org/W3012112115","https://openalex.org/W3047330221","https://openalex.org/W3179187480","https://openalex.org/W4296709419","https://openalex.org/W4297491469","https://openalex.org/W4366336461","https://openalex.org/W4381309728","https://openalex.org/W4384561107","https://openalex.org/W4387526685","https://openalex.org/W4387711222","https://openalex.org/W4388503650","https://openalex.org/W4391592496","https://openalex.org/W4391697449","https://openalex.org/W4391994274","https://openalex.org/W4413115538","https://openalex.org/W4416399761","https://openalex.org/W7159771847"],"related_works":["https://openalex.org/W7128811689","https://openalex.org/W3202829449","https://openalex.org/W7147594333","https://openalex.org/W4387526685","https://openalex.org/W4402134907","https://openalex.org/W4412403547","https://openalex.org/W7164160195","https://openalex.org/W4414994293","https://openalex.org/W4405721159","https://openalex.org/W4413115538"],"abstract_inverted_index":{"Objectives:":[0],"To":[1],"describe":[2],"and":[3,76,87,93,114,134,180,190,224,234],"evaluate":[4],"a":[5,11,55,63,123,166,243],"needs-assessment":[6,43],"informed":[7],"model":[8,89,217],"for":[9,90,239,247],"embedding":[10],"non-allergist":[12,248],"penicillin":[13,104,167,232],"allergy":[14,105],"de-labelling":[15],"(PADL)":[16],"service":[17,124,177],"within":[18,162],"an":[19,235],"Acute":[20],"Medical":[21],"Unit":[22],"(AMU),":[23],"including":[24],"stakeholder":[25,229],"experience.":[26],"Methods:":[27],"A":[28,215],"four-phase":[29],"quality":[30],"improvement":[31],"project":[32],"in":[33,100,250],"one":[34,148],"UK":[35],"AMU,":[36],"reported":[37,169],"per":[38],"SQUIRE":[39],"2.0.":[40],"Phase":[41,53,59,97,107,188,191],"1:":[42],"survey":[44,110],"of":[45,111,120,141,204],"124":[46],"staff":[47,121],"(pharmacists,":[48],"doctors,":[49],"nurses,":[50],"immunology":[51],"staff).":[52],"2:":[54],"multidisciplinary":[56],"team":[57],"translated":[58,218],"1":[60,189],"barriers":[61,220],"into":[62,185,221],"PEN-FAST-guided":[64],"direct":[65],"oral":[66],"amoxicillin":[67],"challenge":[68],"(DOC)":[69],"protocol":[70],"delivered":[71],"by":[72],"acute":[73,251],"medicine":[74],"consultants":[75],"pharmacists;":[77],"design":[78,222],"decisions":[79,223],"were":[80,145,194],"retrospectively":[81],"mapped":[82],"to":[83],"the":[84,137,176],"capability,":[85],"opportunity":[86],"motivation":[88],"behavioural":[91],"change":[92],"Behaviour":[94],"Change":[95],"Wheel.":[96],"3:":[98],"DOC":[99],"60":[101,142],"adult":[102],"inpatients":[103],"labels.":[106],"4:":[108],"post-implementation":[109,173],"54":[112,172],"patients":[113,143],"staff.":[115],"Results:":[116],"Before":[117],"implementation,":[118],"90%":[119],"anticipated":[122],"would":[125,181],"be":[126],"useful,":[127],"but":[128,153],"identified":[129],"time,":[130],"education,":[131],"safety":[132],"concerns":[133],"staffing":[135],"as":[136,187],"main":[138],"barriers.":[139],"Fifty-nine":[140],"(98.3%)":[144],"de-labelled,":[146],"with":[147,227],"mild":[149],"Type":[150],"4":[151,192],"reaction":[152],"no":[154],"anaphylaxis.":[155],"All":[156,171],"21":[157],"(35.6%)":[158],"who":[159],"needed":[160],"antibiotics":[161],"six":[163],"months":[164],"received":[165],"without":[168],"reaction.":[170],"respondents":[174],"rated":[175],"extremely":[178],"useful":[179],"recommend":[182],"or":[183],"refer":[184],"it;":[186],"cohorts":[193],"non-matched,":[195],"this":[196],"comparison":[197],"is":[198],"indicative":[199],"only.":[200],"Patients":[201],"described":[202],"years":[203],"unwarranted":[205],"anxiety":[206],"about":[207],"antibiotic":[208],"use":[209,233],"that":[210],"resolved":[211],"after":[212],"de-labelling.":[213],"Conclusions:":[214],"needs-assessment-informed":[216],"staff-identified":[219],"was":[225],"associated":[226],"high":[228],"endorsement,":[230],"durable":[231],"under-recognized":[236],"psychological":[237],"benefit":[238],"patients.":[240],"It":[241],"offers":[242],"practical,":[244],"replicable":[245],"template":[246],"PADL":[249],"medicine.":[252]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-06T00:00:00"}
