实施多学科药物补充协议的实施
Samia Khan1, Jessica J F Kram2, Dennis J Baumgardner3
1Department of Family Medicine, Aurora UW Medical Group, Aurora St. Luke's Medical Center, Advocate Aurora Health, Milwaukee, WI.
PRiMER (Leawood, Kan.)
|October 4, 2023
概括
一个新的药物补充协议显著减少了处理时间,提高了初级保健诊所的可预测性. 这种以护理为导向的方法可以节省时间,并通过简化处方更新来提高患者满意度.
科学领域:
- 初级医疗保健医学 一级医疗保健医学
- 医疗保健服务研究 医疗服务研究
- 护理实践 护理实践
背景情况:
- 主要护理临床医生将大量时间用于非访问任务,例如处方更新.
- 药物补充处理中的低效率会导致患者不满,并降低提供者的生产力.
研究的目的:
- 评估一个多学科的药物补充协议,以减少完成补充请求所需的时间.
- 评估护理驱动的补充过程对效率和及时性的影响.
主要方法:
- 在两个家庭医学住院诊所实施护理驱动的药物补充协议.
- 通过电子健康记录收集数据,使用时间来衡量补充完成时间.
- 使用穆德的中位测试,莱文的测试和费舍尔的精确测试/χ2测试进行统计分析.
主要成果:
- 在两个研究阶段,重新填充完成的中位时间显著减少 (P<.001) 和改善时间变化 (P<.001).
- 在第一阶段,居民的中位补充时间 (383分 vs 79分) 减少最为显著.
- 在COVID-19大流行期间,在第2阶段内,在48小时内完成补充的比例增加.
结论:
- 一个多学科的补充协议显著提高了药物补充完成的速度和一致性.
- 该协议在提高初级保健机构的效率方面表现出有效性.
- 这种方法为管理非访问患者护理活动提供了一个可扩展的解决方案.
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