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Published on: August 30, 2018
Frequency and types of alerts for antibiotic prescribing in a neonatal ICU
Barbara Sheehan1, Amy Chused, Phillip L Graham
1School of Nursing, Columbia University, New York, NY, USA. bs584@columbia.edu
Insights
Managing antibiotics for neonatal sepsis is crucial due to high morbidity and mortality. Clinical alerts in neonatal intensive care units provide essential information at the point of care to support safe antibiotic prescribing.
Area of Science:
- Neonatal Medicine
- Clinical Pharmacy
- Infectious Diseases
Background:
- Neonatal sepsis presents a significant threat, leading to severe morbidity and mortality.
- Effective antibiotic management is critical for improving outcomes in neonates with sepsis.
Purpose of the Study:
- To evaluate clinical alerts supporting antibiotic prescribing in a neonatal intensive care unit (NICU).
- To ensure alert information aligns with current recommendations for neonatal antibiotic use.
Main Methods:
- Analysis of data from an alerts tracking database.
- Description of alerts based on triggering orders and clinician recipients.
- Assessment of information provided by alerts related to antibiotic prescribing.
Main Results:
- Alerts most frequently associated with antibiotics deliver vital data on lab results and patient factors.
- This critical information aids in preventing adverse drug events.
- Alerts are directed to clinicians responsible for order entry, providing information at the point of care.
Conclusions:
- Clinical alerts effectively deliver essential information for safe antibiotic prescribing in neonates.
- The current alert system supports evidence-based practice at the point of care.
- Optimizing alerts can further enhance the management of neonatal sepsis.
Abstract:
Sepsis in neonates is a significant problem that carries with it severe morbidity and mortality. Managing antibiotics in this population is therefore an important issue. We studied clinical alerts currently in place to support antibiotic prescribing in a neonatal intensive care unit in order to ensure that appropriate information is being provided in a way that is consistent with current recommendations. Data were obtained from our alerts tracking database. Alerts were described according to triggering orders and clinician recipients. We found that alerts most commonly associated with antibiotics are providing critical information regarding lab results and patient factors necessary in preventing adverse effects of these drugs. Clinician recipients of alerts are those responsible for entering orders and the information is being provided at the point of care.
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