增加急诊诊所急性中耳炎的安全网抗生素处方
Jennifer McKinsey1,2, Brian R Lee1,2, Donna Wyly3
1Department of Pediatrics, Children's Mercy Kansas City, Kansas City, MO.
Journal of pediatrics. Clinical practice
|February 14, 2025
概括
多方面的干预措施显著增加了安全网抗生素处方 (SNAPs) 对非严重的急性中耳炎 (AOM) 的使用. 对SNAP资格的临床文档也增加了,这表明对抗生素管理的广泛适用性.
科学领域:
- 儿科医学 儿科医学 儿科医学
- 传染性疾病传染性疾病.
- 抗生素管理的管理.
背景情况:
- 非严重的急性中耳炎 (AOM) 经常被过度用抗生素治疗.
- 安全网抗生素处方 (SNAP) 提供了一种减少不必要抗生素使用的策略.
- 有效实施SNAP需要优化临床工作流程和文档.
研究的目的:
- 评估多方面的干预措施在改善SNAPs对非严重AOM的吸收方面的有效性.
- 评估干预措施对临床医生的SNAP资格文件的影响.
- 确定干预措施对AOM患者回访的影响.
主要方法:
- 在3个儿科急诊中心使用Plan-Do-Study-Act周期的质量改进方法.
- 干预措施包括教育,EHR修改,审计,反和财务激励.
- 主要结果:符合条件的AOM患者提供SNAP的百分比;次要结果:SNAP的接受率,文档率和14天的回访.
主要成果:
- 符合条件的AOM患者提供SNAP的百分比从7.2%增加到49.7%.
- 对SNAP资格的临床文档从5.7%上升到52.7%.
- 每月接受的SNAP从平均20个增加到139个,回访没有变化.
结论:
- 多方面的干预措施有效地提高了SNAP的供应和接受率,用于不严重的AOM.
- 改善了SNAP资格的临床医生文件,与增加的SNAP提供相关.
- 这种方法有望得到广泛实施,以加强抗生素管理.
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