减少在11个医院的安全网系统中过度使用3天重复的类型和屏幕测试
Dawi Shin1, Hyung J Cho2, Surafel Tsega3,4
1Icahn School of Medicine, New York, NY, USA.
Journal of general internal medicine
|July 10, 2023
概括
在使用电子健康记录干预措施的大型卫生系统中,重复类型和屏幕 (T&S) 测试显著减少. 这些低功耗策略减少了不适当的T&S订单,节省了成本并提高了患者安全.
科学领域:
- 医疗保健管理的管理
- 临床实验室科学 临床实验室科学
- 医疗信息学 医疗信息学
背景情况:
- 根据AABB指南,类型和屏幕 (T&S) 的有效期仅限于三天.
- 在三天内重复T&S测试通常是不合理的,被认为是医疗废物.
- 不适当的T&S测试会造成财务负担和潜在的患者伤害.
研究的目的:
- 为了减少不适当的重复类型和屏幕 (T&S) 测试在多个医院.
- 实施和评估基于电子健康记录 (EHR) 的干预措施.
主要方法:
- 一个多医院的环境,包括11个急性护理设施在一个大型城市安全网卫生系统.
- 干预措施包括加强订单输入与自上次T&S以来的过期时间,并实施对重复订单的最佳实践咨询.
- 衡量的主要结局是每1000个患者日复制住院T&S的比率.
主要成果:
- 第一个干预措施使T&S重复率减少了12.5% (p < 0.001).
- 第二次干预进一步降低了比基线48.7% (p < 0.001) 的比率.
- 统计分析证实,干预后水平和斜率差异显著减少.
结论:
- 一个双边的EHR干预有效地减少了重复的T&S测试.
- 这种低功耗的策略为其他临床环境提供了一个可扩展的框架.
- 这些发现突出了健康信息学在优化实验室利用率和患者护理方面的潜力.
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