基于常规电子健康记录数据计算重症监护室抗生素使用指标的可行性
Daphne Stegink1,2, Marie-José Roos-Blom1,2, Dave Dongelmans3,2
1Department of Medical Informatics Amsterdam UMC location University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.
Studies in health technology and informatics
|August 23, 2024
概括
电子健康记录数据可以评估抗生素使用质量指标,尽管存在挑战. 为了更广泛的适用性,建议在多个重症监护病房进行进一步的研究.
科学领域:
- 医疗信息学 医疗信息学
- 改善临床质量 改善临床质量
- 抗微生物药物管理委员会
背景情况:
- 常规收集的电子健康记录 (EHR) 数据为监测医疗保健质量提供了潜在的资源.
- 抗生素的使用是医疗机构质量改善举措的关键领域.
研究的目的:
- 评估使用EHR数据计算抗生素使用预定义质量指标的可行性.
- 识别使用EHR数据测量抗菌药物管理质量的障碍和促进者.
主要方法:
- 使用现有的电子健康数据计算四个已确定的质量指标的可行性评估.
- 分析影响指标计算的数据完整性和编码特点.
主要成果:
- 在评估的四个质量指标中,有三个被认为可以使用电子健康记录数据进行计算.
- 发现的关键障碍包括实验室测试和监测培养的非标准本地代码,以及关于实证抗生素处方的数据不足.
结论:
- 常规的EHR数据可用于评估抗生素使用质量的某些方面.
- 解决数据的标准化和完整性对于提高电子健康记录在抗菌药物管理计划中的实用性至关重要.
- 多中心研究是必要的,以验证各种重症监护室 (ICU) 设置中的质量指标,并了解ICU间的变化.
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