实施一个多学科的过程,以改善医院发作的Clostridioides difficile感染的诊断管理
Charles Bussell1, Jennifer Vincent2, Karen Brust3
1Department of Internal Medicine, Baylor Scott & White Medical Center-Temple, Temple, TX; Division of Gastroenterology, Department of Internal Medicine, Baylor Scott & White Medical Center-Temple, Temple, TX.
实施一个多学科的诊断管理计划显著减少了医院发病的Clostridioides difficile感染 (HO-CDI) 病例. 这一举措改善了适当的便样本检测,从而改善了患者护理和大幅节省成本.
科学领域:
- 传染性疾病 传染性疾病
- 临床诊断 临床诊断 临床诊断
- 医疗保健管理的管理
背景情况:
- 不适当的便样本检测Clostridioides (Clostridium) difficile可能导致错误诊断活跃感染.
- 这种诊断错误有助于增加医院发作的C. difficile感染 (HO-CDI) 的负担.
研究的目的:
- 调查多学科方法是否可以提高诊断管理能力,从而降低HO-CDI率.
- 通过更好的样本选择,提高C. difficile测试的准确性.
主要方法:
- 开发一种算法,以适当地收集便样本进行PCR测试.
- 实施"测试门票"检查清单卡,用于提交样本.
- 授权护理和实验室工作人员拒绝不合适的标本.
主要成果:
- 在6个月的时间里,干预后HO-CDI病例从57个减少到32个.
- 提交用于测试的适当便样本的百分比从41%-65%增加到71%-91%.
- 有望实现超过108万美元的显著成本节约.
结论:
- 一个多学科的战略有效地改善了C. difficile测试的诊断管理.
- 加强管理导致报告的HO-CDI减少.
- 这项干预措施提高了诊断准确度,并带来了显著的财务利益.
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