循环医院订单的捆绑撤销与新型电子医疗记录订单集一起执行
Caleb J Murphy1,2, Vanshika Narala3, Aishwarya Katiki3
1Section of Hospital Medicine, University of Chicago Department of Medicine, Chicago, Illinois, USA caleb.murphy@northwestern.edu.
BMJ open quality
|December 18, 2024
概括
一个新的电子医疗记录订单组成功地减少了住院患者的高频循环订单,特别是夜间的生命体征. 这种捆绑方法有效地减少了不必要的医疗护理.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 临床信息学 临床信息学
- 医院 医院 医疗 医疗 医疗 医疗
背景情况:
- 电子医疗记录 (EMR) 中高频的反复订单可能导致不必要的医院护理.
- 一个质量倡议旨在创建和测试一套医院订单,用于审查和撤销常见的循环订单.
研究的目的:
- 开发和试点测试一套新的医院订单,旨在减少不必要的反复订单.
- 评估一套用于普通医院护理订单的撤销策略的有效性.
主要方法:
- 创建了一个自愿的EMR订单集,为常见的医院护理组件提供了替代方案.
- 医院医生使用了2023年2月至6月的订单,监测了夜间生命体征,管道/带和日常实验室的订单.
- 一个配对的t测试分析了序列频率在序列引入之前和之后的变化.
主要成果:
- 该订单集在48次遭遇中被使用,导致80个撤销订单,主要用于终止一夜间的生命体征 (n=37).
- 平均总高频订单每病人的日减少0.22 (p=0.010),主要是由于一夜之间生命体征订单的减少.
- 在管/或日常实验室的订单中没有观察到显著的变化.
结论:
- 实施新订单组与高频循环订单的显著减少有关,特别是一夜间的生命体征.
- 在订单中捆绑执行命令被证明是有效的,44%的使用涉及两个或两个以上的执行命令.
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