静脉血栓塞栓症预防 电子健康记录实施前后的合规性
Lindsay Saum1,2, David Reeves1,2
1Butler University College of Pharmacy and Health Sciences, Indianapolis, Indiana.
Hospital pharmacy
|May 15, 2024
概括
电子健康记录 (EHR) 的实施减少了静脉血栓塞栓症 (VTE) 预防的使用,尽管改善了风险因素文档. 这项研究强调了EHR对VTE预防策略的潜在意外后果.
科学领域:
- 医疗信息学 医疗信息学
- 临床医学 临床医学
- 患者安全 患者安全
背景情况:
- 遵守美国胸部医师学会 (CHEST) 和国家综合癌症网络 (NCCN) 的静脉血栓塞栓症 (VTE) 预防指南对于预防医院相关的血栓塞栓并发症至关重要.
- 电子健康记录 (EHR) 为遵守指南提供了潜在的好处,但对其对VTE预防实践的影响的经验数据有限.
研究的目的:
- 评估在内科和瘤患者群体中遵守VTE预防指南.
- 评估EHR实施对VTE预防率和适当性的影响.
主要方法:
- 一个回顾性图表回顾分析了医疗和瘤患者在EHR实施前和之后的2个月内.
- 风险评估工具是可用的,但不是强制性的EHR前后.
- 在两个时期之间比较了VTE预防率;在没有预防的患者小组中评估了适当性.
主要成果:
- 总共有2,423名患者被纳入 (1,171名EHR前,1,252名EHR后).
- 在EHR实施后,VTE预防处方减少了 (43%与50%相比,P = .001).
- 后EHR组显示增加了风险因素 (84%与53%,P<.001) 和禁忌 (23%与8%,P=.001) 的文档,以及符合条件的患者中较高的不合规率 (51%与39%,P<.001).
结论:
- 实施EHR导致了对VTE风险因素和禁忌的改进文档.
- 然而,在EHR实施后,观察到VTE预防利用的显著减少.
- 这些发现表明,EHR系统可能对静脉瘤预防实践产生意想不到的后果.
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