在退院后抗生素使用风险调整指标上表现良好和差的医院之间,管理策略的差异
Daniel J Livorsi1,2, James A Merchant3, Hyunkeun Cho3
1Center for Access and Delivery Research and Evaluation, Iowa City Veterans Affairs Health Care System, Iowa City, IA, USA.
Infection control and hospital epidemiology
|February 12, 2025
概括
拥有更好的抗生素管理计划的医院有更多的医生和药剂师合作和当地处方指南. 这些因素对于改善抗生素使用和减少耐药性至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 医疗保健管理的管理
- 抗微生物药物管理委员会
背景情况:
- 有效的抗微生物药物管理计划对于打击抗生素耐药性至关重要.
- 管理流程的变化可能会影响抗生素处方结果.
- 出院后使用抗生素是管理干预的关键领域.
研究的目的:
- 为了比较不同风险调整后退院抗生素使用的医院之间的管理流程.
- 确定与更好的抗生素处方结果相关的关键管理实践.
主要方法:
- 对123家医院的管理流程进行比较分析.
- 退院后使用抗生素的风险调整指标.
- 后勤回归用于比较高和低绩效医院之间特定管理实践的几率.
主要成果:
- 表现不佳的医院报告管理医生和药剂师之间的常规相互作用的可能性明显低 (OR 0.12).
- 表现不佳的医院也不太可能有当地抗生素处方指南 (OR 0.21).
结论:
- 常规的医生和药剂师在管理方面的合作与改善的抗生素处方有关.
- 当地的抗生素处方指南的可用性与更好的管理结果有关.
- 这些发现突出了加强抗微生物药物管理计划的关键干预措施.
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