一个国家质量改善协作,以改善儿童感染中的抗生素使用
Russell J McCulloh1,2, Ellen Kerns1,3, Ricky Flores3
1Department of Pediatrics, University of Nebraska Medical Center, Omaha, Nebraska.
Pediatrics
|April 29, 2024
概括
一项质量改善计划改善了对患有常见感染的儿童的适当抗生素处方. 这导致了更好的经验,确定性和治疗持续时间,减少了不必要的抗生素使用.
科学领域:
- 儿童传染病 儿童传染病
- 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:
- 儿童过度使用抗生素是一个重大问题,近25%的处方是不适当的.
- 不必要的抗生素使用会导致不良药物效应和增加医疗保健成本.
研究的目的:
- 加强儿童患者适当使用抗生素治疗.
- 提高接受适当经验,最终和持续时间的常见感染抗生素治疗的儿童比例到≥85%.
主要方法:
- 从2020年到2022年,在118家医院实施了一项质量改善计划.
- 干预措施包括审计,教育网络研讨会,同行指导,订单集和移动应用程序.
- 来自43,916次遭遇的数据使用中断时间序列进行了分析.
主要成果:
- 对适当的抗生素治疗的坚持在经验,最终和持续时间的措施中显著增加.
- 具体来说,经验治疗显示了13%的截止变化,持续时间每月增加了1.1%.
- 没有观察到护理升级或再入院率的增加.
结论:
- 协作多站点倡议成功改善了在各种医院环境中适当的抗生素处方.
- 这表明了儿童抗微生物药物管理中质量改善策略的有效性.
相关概念视频
Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
Antibiotic Selection
53.3K
Overview
53.3K
Nursing Clinical Information System
769
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
769
Combined Effects of Drugs: Synergism
3.9K
Synergism is a useful mechanism where combining two or more drugs is more effective than each constituent used alone. Such combinations are also called supra-additive interactions. The drugs collectively enhance the final therapeutic effect by acting on different targets. Another advantage is that the low dose of each constituent drug is sufficient to achieve the desired effect. This helps reduce the duration of therapy and lower the adverse effects of these drugs.
Such synergistic combinations...
Such synergistic combinations...
3.9K


