在成人和儿科急诊室开发和实施自验证标准化
Savanna Scott1, Umbreen Murtaza1, Sara Choi1
1Johns Hopkins Hospital, Baltimore, MD, USA.
概括
在急诊室 (ED) 优化自动验证规则提高了药物安全. 高警报药物从自动验证中删除,确保药剂师审查和增强患者护理.
科学领域:
- 药房实践 在药房实践中
- 医疗信息学 医疗信息学
- 药物安全 药物安全
背景情况:
- 自动验证技术在医疗保健机构中提供了潜在的效率提升.
- 实施自验证需要仔细考虑药物安全协议.
- 紧急部门现有的自动验证实践可能与最佳实践或监管标准不一致.
研究的目的:
- 用美国卫生系统药剂师协会 (ASHP) 自动验证工具包,完善儿科和成人急诊室的卫生系统自动验证流程.
- 贡献有关在紧急情况下适当应用自动验证技术的文献.
- 优化自验证规则,以提高药物安全性和与监管标准保持一致.
主要方法:
- 在一个学术医疗中心的急诊部进行了一项质量改进研究.
- 一个多学科团队开发并实施基于ASHP工具包的自验证最佳实践.
- 电子健康记录的自动验证规则被重新设计,从一个基于自动化分发柜库存的系统过渡到一个优化的状态.
- 包括自动验证订单的百分比与需要药剂师审查的订单的百分比在内的指标在优化前和后进行了分析.
主要成果:
- 这项研究涉及一个学术医疗中心的急诊科,有33张儿科和77张成人病床.
- 自动验证最初应用于自动化药柜中的大多数药物,这给优化带来了挑战.
- 在优化后,自动验证规则进行了更新,以更好地与监管标准保持一致.
- 高警觉药物,如胰岛素,延长释放阿片类药物和狄戈辛,被删除了自动验证.
结论:
- 使用ASHP工具包完善自动验证流程,提高了急诊部的药物安全性.
- 自动验证规则的优化导致药剂师对高警戒药物订单的审查增加.
- 这项质量改进倡议证明了在紧急护理中对自动验证技术的结构化方法的价值.
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