改善儿科急诊室获得出院处方的机会
Claci Ayers1, Heather Canady2, Elizabeth Humphreys2
1Division of Pediatric Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Hospital pediatrics
|January 14, 2025
概括
改善儿科急诊部 (PED) 处方填充率,这项研究使用质量改进方法将送到现场门诊药房 (OOP) 的处方从8.9%增加到70%以上.
科学领域:
- 儿科急救医学 儿科急救医学
- 医疗保健服务研究 医疗服务研究
- 药房实践 在药房实践.
背景情况:
- 三分之一的儿科急诊室 (PED) 处方没有被患者填写.
- 现场门诊药房 (OOP) 可以提高处方填充率.
研究的目的:
- 将开放时间发送到OOP的PED排出处方的百分比从8.9%的基线增加到2022年6月之前的70%的目标.
主要方法:
- 一个质量改进计划利用了一个多学科的团队,数据分析与统计过程控制图表,和干预.
- 关键干预措施包括教育活动,电子病历修改和轮班项目冠军.
主要成果:
- 发送到OOP的PED处方的百分比从基线8.9%增加到70.9%的峰值平均值,持续9个月.
- 在OOP中未填写处方的比例保持稳定,为15.8%,随着OOP使用量的增加.
结论:
- 质量改进方法成功地提高了PED处方向OOP指导的比例.
- 这种增加了处方路由到OOP的增长,同时保持了一致的未填写处方率,支持扩大了OOP时间.
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