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在全国血液培养瓶短缺期间,迅速实施临床决策支持工作流程

Saira Butt^1,2, Amy B Kressel^1,2, Brian L Haines²

¹Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.

Infection prevention in practice

|December 3, 2024

概括

一家医院实施了电子血培养 (BC) 命令限制,以解决全国BC瓶短缺问题. 这种工作流成功地将BC瓶的使用量减少了29.5%,帮助在短缺期间进行诊断管理.

科学领域:

临床微生物学临床微生物学
医疗保健管理的管理
传染性疾病传染性疾病

背景情况:

美国食品和药物管理局宣布全国缺乏血液培养 (BC) 瓶.
恢复BC瓶装供应的确切时间表仍未确定.

研究的目的:

实施临床决策支持工作流程,以减轻BC瓶短缺的影响.
为了优化BC的利用和节约有限的资源.

主要方法:

开发和部署基于电子病历 (EMR) 的临床决策支持工作流程.
实施的BC排序的具体标准:限制每24小时两套,仅在72小时后重复,并特别排除污染物或低风险细菌性病 (例如,凝结酶负的葡萄球菌,链球菌,没有特定风险因子的阴性杆菌).

主要成果:

实现了实施后每周平均BC瓶使用量下降29.5%.
在短缺公告的三周内成功部署了基于证据的BC限制.

结论:

实施的工作流在短缺期间有效减少了BC订单的29.5%.
这种方法证明了成功的诊断管理,可以考虑其他面临类似挑战的机构进行复制.

关键词:

血液培养血液培养是什么?瓶子短缺瓶子短缺临床决定临床决定这是一个EMR工具.管家的管理管家的管理工作流的工作流.

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