针对医院的复杂电子处方抗菌药物管理 (ePAMS+) 干预:混合方法可行性试验结果
Christopher J Weir1, Susan Hinder2, Imad Adamestam3
1Edinburgh Clinical Trials Unit, Usher Institute, University of Edinburgh, Edinburgh, UK. Christopher.Weir@ed.ac.uk.
BMC medical informatics and decision making
|October 11, 2024
概括
一个新的基于电子处方的抗微生物管理 (ePAMS+) 工具在可行性试验中显示出不同的结果. 需要进一步改进,以提高抗生素耐药性的采用和有效性.
科学领域:
- 医疗信息学 医疗信息学
- 传染性疾病 传染性疾病
- 临床药房 临床药房
背景情况:
- 抗生素耐药性感染是全球主要的健康威胁,每年造成70万多人死亡.
- 抗生素管理 (AMS) 计划对于尽量减少抗生素耐药性至关重要.
- 基于电子处方的抗微生物管理 (ePAMS+) 工具是为了支持AMS而开发的.
研究的目的:
- 评估ePAMS+系统的可行性,可接受性和可用性.
- 评估ePAMS+的实施流程和定量结果记录.
- 为未来关于ePAMS+有效性的试验进行样本大小计算提供信息.
主要方法:
- 在两个英国医院进行了一项非随机的前后可行性试验.
- 混合方法评估包括定性访谈和定量处方数据分析.
- 这项研究使用了Cerner千年电子处方和药物管理 (EPMA) 系统.
主要成果:
- 该试验发生在COVID-19大流行期间,影响了实施.
- 质量反表明,ePAMS+的一些方面是可以接受的,但需要进一步开发.
- 对ePAMS+的采用率很低,阻碍了全面的评估,并阻止了对某些结果的测量.
结论:
- 可行性试验强调了在流行病等不可预见的情况下实施复杂干预的挑战.
- 确定了ePAMS+的关键改进,以加强临床实践的采用.
- 在可以进行确认有效性试验之前,需要进行进一步的试验.
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