在儿科ED中改善基本门诊药物的及时管理
Jessica K Creedon1, Michelle Marini1, Kim Erdner1
1Division of Emergency Medicine, Boston Children's Hospital and Harvard Medical School, Boston.
Pediatrics
|September 6, 2024
概括
一项质量改善倡议成功地增加了儿童急诊室 (ED) 长期住院患者的基本门诊药物的订购量. 药物管理的改进没有影响患者安全事件.
科学领域:
- 儿科急救医学 儿科急救医学
- 提高质量 提高科学 提高质量
- 药物安全 药物安全
背景情况:
- 儿科门诊药物治疗方案越来越复杂,在繁忙的急诊室 (ED) 存在药物错误的风险.
- 延长ED停留时间 (LOS) 复杂化了关键门诊药物的及时管理.
- 这项研究旨在解决长期ED停留的儿科患者订购必需药物的挑战.
研究的目的:
- 为了提高儿童ED患者的基本门诊药物的订购频率,LOS>4小时.
- 到2023年6月,这些药物的订单率达到80%.
- 在这个过程中保持或提高药物安全性.
主要方法:
- 在儿科ED中实施了一项质量改善 (QI) 倡议.
- 干预措施包括电子健康记录修改,分拣通知系统和全面的教育计划.
- 基本的门诊药物被定义为抗,心血管和免疫抑制药物.
主要成果:
- 在研究期间,基本门诊药物的月度订单率从基线的54%增加到66%.
- 在细化了患者群体后,订单率达到81%.
- 在门诊治疗药物安全事件中没有观察到显著的变化.
结论:
- 一个多学科的QI倡议有效地增加了儿科ED中基本门诊药物的订单.
- 实施的策略改善了药物订购,而不会对患者的安全产生负面影响.
- 这种方法为ED环境中管理复杂药物需求提供了一个模型.
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