指示驱动的订单输入减少了管理和药剂师干预
Jacey L Nishiguchi1, Laura L Bio1, Sean T Cornell2
1Department of Pharmacy, Lucile Packard Children's Hospital Stanford, Palo Alto, California.
Infection control and hospital epidemiology
|August 2, 2023
概括
指示驱动的订单输入 (IDOE) 减少了抗菌药物管理计划干预措施. 这个系统简化了对抗生素的订购,减少了对关键药物的建议和药剂师行动.
科学领域:
- 儿童传染病 儿童传染病
- 抗微生物药物管理管理
- 医疗信息学 医疗信息学
背景情况:
- 预期审计和反 (PAF) 是一个关键的抗微生物管理计划 (ASP) 战略.
- 塞法林,皮佩拉林-塔扎巴克坦和美罗因使用量高而经常成为干预的目标.
- 效率低下的订单输入系统可能会导致抗生素处方不足.
研究的目的:
- 评估实施指示驱动订单输入 (IDOE) 对抗生素处方的影响.
- 在IDOE实施后评估抗微生物管理计划 (ASP) 干预措施的变化.
- 为了确定IDOE对临床药剂师干预措施的影响.
主要方法:
- 具体抗生素的指示驱动订单条目 (IDOE) 的实施.
- 在IDOE之前和之后,抗微生物管理计划 (ASP) 进行前性审计和反 (PAF).
- 追踪ASP建议和临床药剂师干预措施.
主要成果:
- IDOE的实施与ASP PAF建议的显著减少有关.
- 在IDOE后观察到临床药剂师干预的显著减少.
- 该系统有效地简化了针对性抗生素的订购过程.
结论:
- 指示驱动的订单输入 (IDOE) 是减少抗微生物管理计划 (ASP) 干预的有效策略.
- IDOE可以优化儿科环境中的抗生素处方实践.
- 将临床决策支持集成到电子健康记录中,可以加强对抗微生物药物的管理.
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