一个自动化的最佳实践咨询增加了例行艾滋病毒查和艾滋病毒在急诊室的性传播感染的艾滋病毒联合测试
Kimberly A Stanford1, Ellen Almirol2, Makenna Meyer2
1Department of Medicine, Section of Emergency Medicine, University of Chicago, Chicago, IL.
American journal of infection control
|February 3, 2024
概括
自动化电子医疗记录警报显著提高了急诊部门的艾滋病毒和梅毒查率. 这种干预减少了在寻求性传播感染 (STI) 测试的患者中错过的联合测试机会.
科学领域:
- 公共卫生 公共卫生
- 传染病查 传染病查
- 医疗信息学 医疗信息学
背景情况:
- 在急诊室 (ED) 进行常规的艾滋病毒查正在获得引力.
- 增加针对性传播感染 (STIs) 检测的患者的艾滋病毒联合检测是优先事项,因为他们的艾滋病毒风险较高.
研究的目的:
- 评估自动化电子病历 (EMR) 最佳实践咨询 (BPA) 对艾滋病毒和梅毒查率的影响.
- 评估在BPA实施后接受性传播疾病检测的患者的并发检测率的变化.
主要方法:
- 在BPA实施前和之后的七个月内,对ED遭遇进行了回顾性审查.
- 这项研究分析了14767个独特的遭遇,比较了艾滋病毒和梅毒测试量和并发症测试比例.
主要成果:
- 艾滋病毒检测增加了242% (2,851到9,757次).
- 梅毒检测量增加了326% (从2191次到9330次).
- 没有艾滋病毒联合检测的泌尿器官性传播疾病检测的遭遇比例下降了10.3% (43.6%至33.3%).
结论:
- 自动化EMR提示在增加艾滋病毒和梅毒检测率方面非常有效.
- 这些警报显著减少了高风险患者群体中错过的联合测试机会.
- 医院应实施自动警报,以提高查质量指标和患者护理.
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