在急诊部内静脉推送抗生素:教育和实施
Rachel E Brady1, Elizabeth L Giordullo1, Charles A Harvey1
1Department of Pharmacy, St. Elizabeth Healthcare, Edgewood, KY, USA.
概括
静脉注射的推进抗生素显著减少了与急诊室的背靠背方法相比的施用时间和成本. 这种转变为患者提供了大量的节省和更快的治疗开始.
科学领域:
- 药理学和药房实践中的药理学和药房实践
- 医疗保健管理的管理
- 紧急医疗 紧急医疗
背景情况:
- 静脉注射 (IV) 推送抗生素提供了一个替代IV支剂的替代品.
- 这种方法保持了同等的药理动力学和不良反应概况.
- 它解决了药物短缺的压力,并减少了订单到管理的延迟,从而节省了潜在的成本.
研究的目的:
- 为了确定IV推进抗生素是否减少了与IV背带抗生素相比的注射时间,在急诊室.
- 为了衡量与静脉注射相关的成本节约,推进抗生素的制备和管理.
- 为了评估护理人员对静脉注射抗生素使用的满意度.
主要方法:
- 一项对IV推送和IV背带抗生素的比较研究.
- 纳入标准:年龄在18岁以上的患者接受氏,氏,氏,或氏.
- 主要结果:从订单到管理的时间;次要结果:准备费用.
主要成果:
- 从订单到服药的时间从74分钟 (背带) 减少到31分钟 (推) (P = 0.003).
- 据估计,针对特定抗生素的急救部门每年节省的成本为227,930.88美元.
- 这两组都包括43名患者.
结论:
- 静脉推送抗生素显著减少了从订购到管理的时间.
- 这种方法可以为医疗机构节省大量的成本.
- 静脉注射抗生素是一种高效且具有成本效益的替代方案,可替代静脉注射.
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