相关实验视频
Updated: Jul 17, 2025

06:21
Chinese Herbal Retention Enema for the Treatment of Ulcerative Colitis
Published on: May 16, 2025
176
成功地取消了一种无效的做法:docusate的衰落
Adam Timothy Lucy1, Garrett Barnes Massey1, Parker Cobbs1
1UAB Department of Surgery, 1808 7th Ave S, BDB 505, Birmingham, AL, 35233, USA.
American journal of surgery
|August 31, 2023
概括
这项质量改进项目成功地在四个月内将浪费的医药处方减少了44%. 实施基于证据的订单,通过用首选的替代品取代无效的药来优化患者护理.
科学领域:
- 药物经济学 药物经济学
- 医疗保健服务研究 医疗服务研究
- 改善临床质量 改善临床质量
背景情况:
- 作为一种被广泛使用的药,Docusate证明了治疗效率的缺乏.
- 减少浪费医疗实践对于优化医疗保健价值至关重要.
- 这个项目专注于取消实施docusate,以支持基于证据的替代方案.
研究的目的:
- 停止在住院患者的环境中使用无效的docusate.
- 引入和推广一个基于证据的便秘秩序.
- 通过减少浪费的处方来优化药物价值.
主要方法:
- 一项双向研究分析了从2018年到2022年的住院患者的药订单.
- 为了有针对性地取消实施,Docusate处方数据按服务和单位分层.
- 在电子健康记录 (Cerner) 中整合了一套基于证据的便秘顺序.
主要成果:
- 在众多部门和单位中记录了超过70万份多卡萨特订单.
- 多库萨特的使用率超过了其他药的使用率.
- 在4个月内,Docusate订单下降了44%,而聚乙烯糖醇 (PEG) 和 senna订单分别增加了58%和35%.
结论:
- 多库萨特缺乏有效性,但仍然被广泛处方.
- 使用技术和多学科努力的结构化撤销策略可以推动系统性变革.
- 这一举措成功地从住院患者的表单中删除了多库萨特,改善了药物使用.
更多相关视频
相关概念视频
Drugs Affecting GI Tract Motility: Other Laxatives
270
Laxatives are primarily used to alleviate constipation, a common gastrointestinal disorder characterized by infrequent bowel movements and difficulty passing stools. They work by various mechanisms to increase the volume or frequency of bowel movements. The primary modes of action of laxatives include increasing stool bulk, softening the stool, stimulating intestinal motility, and osmotically drawing water into the intestines.
Osmotic or saline laxatives, like magnesium hydroxide or milk of...
Osmotic or saline laxatives, like magnesium hydroxide or milk of...
270
Methods of Documentation II: POMR
987
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
987
Drugs for Treatment of Constipation-Predominant IBS
206
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
206
Inflammatory Bowel Disease V: Surgical Management
167
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
167
Depolarizing Blockers: Pharmocokinetics
353
Depolarizing blockers are administered through intravenous injection. Succinylcholine is the most common choice of depolarizing blockers in emergency clinical practices. Although they have a rapid onset, they readily diffuse away from the motor end plate into the extracellular fluid. They are metabolized by enzymes such as liver butyrylcholinesterase and plasma pseudocholinesterases. This produces a short duration of action, typically 5-10 minutes long, unlike nondepolarizing blockers, which...
353
Methods of Documentation IV: Focus Charting
1.1K
Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
It typically involves three columns for recording information:
It typically involves three columns for recording information:
1.1K

