[诊断管理 - - 对正确的患者进行正确的测试,并产生正确的后果]
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
|September 19, 2023
概括
诊断管理优化了实验室检测和抗生素使用,通过确保适当的样本采集和测试证明. 这种方法可以防止不必要的测试和治疗,改善患者护理并降低医疗保健成本.
科学领域:
- 医疗卫生流行病学 医疗卫生流行病学
- 临床微生物学 临床微生物学
- 抗微生物药物管理委员会
背景情况:
- 美国卫生保健流行病学学会 (SHEA) 建议将诊断管理整合到抗生素管理 (ABS) 计划中.
- 不必要的诊断测试可能会导致进一步的调查和不适当的抗生素给药,例证在非泌尿外科手术前的常规尿液培养.
- 区分污染,殖民和感染是很有挑战性的,特别是从导管或排水道的样本.
研究的目的:
- 总结有关诊断管理干预措施的证据.
- 为医疗保健机构实施诊断管理提供建议.
- 将国际文献与德国医疗保健系统相适应.
主要方法:
- 对诊断管理干预措施的现有证据的审查.
- 将国际建议推断到德国医疗保健背景.
- 专注于优化样本采集,处理,报告和测试证明.
主要成果:
- 诊断管理旨在确保正确的测试结果和适当的测试利用.
- 在订购微生物学或血清学测试之前,明确的临床问题是必不可少的.
- 来自导管和排水管的样本需要经过仔细评估,并具有明确的临床指示.
结论:
- 将诊断管理整合到ABS计划中对于优化医疗保健至关重要.
- 适当的诊断实践可以减少不必要的测试和抗生素的使用.
- 实施需要仔细考虑临床背景和样本完整性.
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