一个外部促进干预以增加吸收药物不良事件报告干预的外部促进干预
Erica Y Lau1,2, Serena S Small1,2, Kate Butcher2,3
1Department of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada.
Frontiers in health services
|June 19, 2023
概括
外部促进改善了不良药物事件 (ADE) 报告,通过支持临床医生记录和传递ADE信息. 这种干预措施增加了医院的报告率,有专门的冠军和全面的战略实施.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 药物安全 药物安全
- 实施科学 实施科学
背景情况:
- 药物不良事件 (ADEs) 是加拿大急诊室访问和住院的重要原因.
- 行动ADE系统旨在通过标准化跨护理机构的文档和沟通来防止ADEs的重复.
- 本研究调查了外部促进在促进加拿大医院采用ActionADE的作用.
研究的目的:
- 检查外部促进对采用ActionADE系统的影响.
- 了解影响ActionADE实施的机制 (如何) 和上下文因素 (在什么背景下).
- 评估外部促进对ADE报告率的影响.
主要方法:
- 采用了融合并行混合方法研究设计.
- 一个外部促进者使用了与网站冠军的四步代过程.
- 用零膨胀的波桑模型分析了档案数据和ActionADE服务器数据,以比较干预前和干预期间.
主要成果:
- 实施了外部促进和共同创建的战略 (教育,社会支持).
- 在两个医院 (LGH和RH) 观察到每个用户平均每月ADE报告率的显著增加.
- 实施的决定因素,如冠军的可用性和战略的完整性,影响了有效性,在另外两个地点 (SPH和VGH) 没有显著的变化.
结论:
- 外部便利化有效地支持共同创建特定背景的实施战略.
- 干预成功地增加了在有临床药剂师冠军和完整战略实施的环境中报告ADE的数量.
- 调查结果强调了持续支持和定制策略对于成功采用医疗IT的重要性.
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