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开发比利时医院抗菌药物管理的质量指标:一个RAND修改的Delphi程序

Sylvie Legros^1,2, Anna Vanoverschelde³, Jens van Krieken⁴

¹Pharmacy Department, Europe Hospitals, Brussels, Belgium.

Acta clinica Belgica

|December 26, 2023

概括

这项研究为改善医院抗生素使用的抗菌管理 (AMS) 计划开发了38个质量指标 (QI). 11个QI被一致选择,有助于打击抗生素耐药性.

科学领域:

传染性疾病传染性疾病
公共卫生公共卫生
医院管理局医院管理局

背景情况:

不适当使用抗生素会导致抗生素耐药性,需要优化抗菌药物管理 (AMS).
在比利时,对多药耐药生物体 (MDROs) 进行国家监测.
有效的AMS计划需要指标来衡量抗生素使用的质量和数量.

研究的目的:

开发流程质量指标 (QI) 用于评估和增强医院的AMS计划.

主要方法:

采用了一个RAND修改的Delphi程序.
这涉及文献综述,在线问卷和多学科专家小组讨论.
来自比利时医院的传染病专家参加了会议.

主要成果:

通过Delphi程序选择了38个过程质量指标.
11个QI实现了一致的选择.
选择的QA涵盖了指导方针的遵守,治疗理由文件,AMS程序的可用性和处方实践.

结论:

38个选定的QI,特别是11个一致选择的QI,可以提高医院抗生素使用质量.
这些质量指南为干预和增强抗菌素处方提供了一个框架.
这些指标旨在刺激医院在打击抗生素耐药性方面取得更好的结果.

关键词:

抗微生物药物管理委员会医院医疗医院医疗医院医疗质量指标质量指标

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