通过区域抗菌管理协作,提高当地生产力.
Morgan C Johnson1, Jessica Bennett2, Angela Kaucher3
1Veterans Affairs Tennessee Valley Healthcare System, Nashville.
概括
通过分享最佳实践和分配工作负载,形成区域抗微生物管理计划 (ASP) 的协作提高了设施生产率. 这个倡议提高了门诊指标和增加了出版物,证明了在资源有限的环境中协作努力的价值.
科学领域:
- 医疗保健管理的管理
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 抗菌药物管理计划 (ASP) 对患者安全至关重要,但往往面临资源限制.
- 解决这些障碍需要创新的方法,例如区域管家网络和协作机构.
- 2020年的一项倡议涉及5个美国退伍军人事务部设施,形成了一个区域ASP协作.
研究的目的:
- 评估区域ASP协作对参与设施生产率的影响.
- 评估员工,报告,倡议和出版物在协作组建之前和之后的变化.
主要方法:
- 对于5个设施的2019财年和2020-2022财年ASP年度报告的回顾性分析.
- 收集的数据包括人员配置,住院/门诊报告,倡议和出版物.
- 分析了生产率趋势,并使用专门的仪表板来评估倡议对抗生素处方的影响.
主要成果:
- 门诊指标报告和改进显著增加,从2019年的27%增加到2022年的60%.
- 总的ASP举措增加了24% (33至41),其中实施了6项合作举措.
- 出版物增加了750% (从2个增加到17个);住院患者的指标没有显著变化.
结论:
- 通过共享改进实践和工作负载分配,ASP协作提高了区域效率和生产力.
- 合作模式在增加ASP倡议和学术成果方面被证明是有效的.
- 这种方法为资源有限的ASP提供了可行的解决方案,旨在提高其影响力.
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