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一个质量倡议,以改善儿童肥胖患者适当的药物剂量
Colleen P Cloyd1,2, Danielle Macedone1,3, Jenna Merandi1
1From the Department of Pharmacy, Nationwide Children's Hospital, Columbus Ohio.
Pediatric quality & safety
|June 13, 2024
概括
通过质量倡议,儿童肥胖患者的药物剂量得到了显著改善. 电子健康记录 (EHR) 决策支持在肥胖的住院患者中,适当剂量从37%增加到83.4%.
科学领域:
- 儿科药理学 儿科药理学
- 医疗信息学 医疗信息学
- 提高质量 提高质量
背景情况:
- 儿童肥胖症的药物剂量是具有挑战性的,因为基于体重的计算和定义儿童肥胖症.
- 现有的儿童肥胖定义方法使全系统的保障措施复杂化.
- 证据支持肥胖患者的替代剂量权重,但儿科应用需要特定的策略.
研究的目的:
- 为了增强适合的药物剂量为肥胖的儿科住院患者.
- 增加7种高风险药物的适当剂量权重的使用,在2岁以上的肥胖患者中使用.
- 维持适当的剂量率超过74%一年.
主要方法:
- 利用医疗保健改进研究所的模型进行规划和跟踪.
- 进行了文献审查,以制定内部剂量指南.
- 实施了电子健康记录 (EHR) 功能,用于识别患有肥胖症的儿科患者,包括默认体重选择和身高获取.
主要成果:
- 在肥胖患者中,药物的适当剂量使用量从37%增加到83.4%.
- 改善的剂量率在12个月内保持在74%的目标以上.
- 基于EHR的临床决策支持在改善药物剂量方面被证明是有效的.
结论:
- 基于EHR的临床决策支持有效地增加了肥胖儿科和成人住院患者的适当药物剂量.
- 质量倡议证明了基于证据的剂量策略的成功实施.
- 需要对儿童肥胖症中替代剂量权重的临床和安全影响进行进一步的研究.
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