了解和绘制抗生素处方和管理过程在辅助生活设施的理解和绘制
Deepthi Jacob1, Betty Chewning1, James H Ford1
1Social & Administrative Sciences Division, University of Wisconsin - Madison School of Pharmacy, Rennebohm Hall, 777 Highland Ave, Madison, WI 53705, USA.
Exploratory research in clinical and social pharmacy
|March 3, 2025
概括
这项研究绘制了辅助生活设施 (ALF) 中抗生素处方和管理过程的地图,揭示了药房在抗生素管理中的关键作用. 这些发现可以为打击ALF抗生素耐药性的干预措施提供信息.
科学领域:
- 医疗保健系统研究研究
- 患者安全 患者安全
- 抗微生物药物管理管理
背景情况:
- 不适当的抗生素处方导致抗生素耐药性,这是一个主要的公共卫生威胁.
- 在养老院研究了抗生素的使用,但在辅助生活设施 (ALFs) 中的过程仍未得到充分探索.
研究的目的:
- 在辅助生活设施 (ALF) 中系统地绘制抗生素处方和管理过程.
- 确定ALF抗生素管理的潜在干预点.
主要方法:
- 一项使用系统工程倡议患者安全 (SEIPS) 2.0模型的定性描述性研究.
- 在五个中西部的ALF中,与熟悉抗生素过程的员工进行了七次半结构化采访.
- 在SEIPS 2.0框架内,NVivo分析了采访数据.
主要成果:
- 为ALF居民绘制了详细的33步抗生素处方和管理过程.
- 该过程包括入院,病情变化,处方,药房收购以及管理/跟踪.
- 药房对于处方药的交付至关重要,并处于独特的位置,以帮助管理工作.
结论:
- 这项研究提供了第一个系统地图的抗生素处方和管理在ALFs.
- 首选的药房使用突出了由药剂师领导的管理干预的机会.
- 在养老院成功的干预措施可能适应ALF,需要进一步研究.
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