对外科预防的质量改善干预措施对抗生素消耗和选择性外科手术程序的成本的影响
H Guanche Garcell1, F J Aragón Palmero2, D A Marquez Reyna2
1Infection Control Department, The Cuban Hospital, Qatar.
Journal of healthcare quality research
|April 15, 2024
概括
在手术中改善抗生素预防 (AP) 合规性,显著降低了抗生素的使用和成本. 这一干预措施提高了AP的质量,从而提高了医疗保健的效率,减少了感染.
科学领域:
- 手术感染预防 手术感染预防
- 抗微生物药物管理委员会
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 在手术中不遵守抗生素预防 (AP) 会增加手术部位感染 (SSI) 的风险.
- 缺乏AP合规性会对医疗保健系统的效率和资源利用产生负面影响.
研究的目的:
- 评估针对性干预对特定外科手术程序中AP遵守的影响.
- 评估干预对抗生素消费和相关成本的影响.
主要方法:
- 一项从2022年1月到12月在社区医院进行的前性干预研究.
- 干预涉及员工教育,药房支持,处方监测和麻醉工作人员和冠军的增强角色.
- 该研究包括接受剖腹产,尾切除,修复,ORIF,腹膜整形和胆囊切除的患者.
主要成果:
- 干预后,AP时间,选择和剂量的合规率显著改善 (例如,时间从92.7%提高到100%).
- 抗生素消费减少了55.1%,非协议抗生素减少了94.1%.
- 总体成本降低了47.2%,主要原因是节省了协议和非协议抗生素支出.
结论:
- 实施的干预策略有效提高了抗生素预防的质量.
- 该研究表明,干预后,抗生素消费和医疗保健成本显著降低.
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