减少抗菌药物管理计划中的处方错误 - - 限制药物
Katherine M Tang1,2, Philip Lee1, Brenda I Anosike1,2
1Children's Hospital at Montefiore, Bronx, New York.
Hospital pediatrics
|March 14, 2024
概括
抗菌药物管理计划 (ASP) 可以增加处方错误. 标准化儿童医院的工作流程显著减少了超过50%的药物错误,提高了患者的安全.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 提高质量 提高科学 提高质量
- 药理学 药理学是指药理学的学科.
背景情况:
- 抗微生物药物管理计划 (ASP) 对于规范抗微生物药物的使用至关重要,但可能无意中增加处方错误.
- 限制抗微生物药物处方需要仔细管理工作流程,以保持患者的安全.
研究的目的:
- 减少与抗微生物管理计划 (ASP) 限制药物相关的处方错误的比例.
- 标准化工作流程,以提高ASP限制药物处方的准确性.
主要方法:
- 一个质量改善项目利用了第三级护理儿童医院的住院病房的改善模式框架.
- 干预措施包括标准化沟通,药物审查,实施协议和开发电子健康记录安全网.
- 使用Plan-Do-Study-Act周期来代地改进干预措施,以减少处方错误.
主要成果:
- 对ASP受限药物的处方错误比例从基线10.9%下降到干预后的4.6%.
- 处方错误之间的平均时间从2.9天增加到8.5天,表明持续改善.
- 这些积极的结果在整个研究期间和随后的3个月的监测阶段持续存在.
结论:
- 质量改进方法在减少ASP限制药物的处方错误方面是有效的.
- 标准化工作流程可以在儿科医院环境中持续改善药物安全.
- 该项目展示了一项成功的战略,旨在提高抗微生物药物管理成果.
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