通过智能手机应用程序改善了小儿抗菌素处方:干预前后研究
Sarah Primhak1,2, Natasha Pool3,4, Michelle Shien Yee Sam5
1Paediatric Infectious Diseases, Starship Children's Health, Auckland, New Zealand sprimhak@adhb.govt.nz.
Archives of disease in childhood
|July 18, 2023
概括
一个新的智能手机应用程序显著改善了对儿科抗菌药物指南的遵守. 这种处方支持工具在临床实践中证明了持续的益处,增强了抗菌药物管理.
科学领域:
- 医疗信息学 医疗信息学
- 儿科药理学 儿科药理学
- 传染性疾病 传染性疾病
背景情况:
- 儿童消费大量的抗微生物药物,需要复杂的处方决定.
- 抗微生物管理 (AMS) 干预措施在儿科医学中往往未得到充分利用.
- 脚本智能手机应用程序是为了帮助新西兰的抗菌药物处方者而开发的.
研究的目的:
- 评估Script应用程序对遵守当地抗菌素处方指南的影响.
- 为了评估应用程序在成人和儿科患者群体中的有效性.
- 为了确定应用程序的好处是否随着时间的推移而持续.
主要方法:
- 预期收集和评估住院和急诊部的抗菌素处方.
- 在基线,4个月和1年后的应用实施中对准则的遵守情况进行比较.
- 调查人员对处方进行"适当"或"不适当"的盲目分类.
主要成果:
- 准则遵守率从基线时的69%显著增加到4个月后的83% (p<0.0001).
- 这种改善在1年内持续下去,其坚持率为81% (p<0.001).
- 在医疗,外科和急诊部门观察到持续的改善.
结论:
- 脚本应用程序使儿童抗菌药物指南的遵守得到了显著和持续的改善.
- 由于复杂的剂量计算,Script应用程序等决策支持工具在儿科特别有价值.
- 通过处方支持工具实施AMS干预措施可以增强儿科抗菌素处方实践.
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