通过行为改变措施减少复杂尾炎的抗生素处方
Alberto A Artiles Garcia1, Humberto Guanche Garcell2, Miguel J Pinto Echevarría1
1Department of Surgical, The Cuban Hospital, Dukhan, Doha, Qatar.
Avicenna journal of medicine
|March 14, 2025
概括
实施质量改善计划显著减少了复杂尾炎的抗生素持续时间. 这导致了较低的抗生素消费和医疗保健成本,而不会影响患者的安全.
科学领域:
- 改善外科手术的质量
- 传染病管理 传染病管理
- 医疗保健经济学 医疗经济学
背景情况:
- 抗生素处方的变化影响患者安全和医疗保健效率.
- 优化抗生素使用对于预防感染和改善治疗结果至关重要.
- 需要基于证据的策略来完善抗生素处方实践.
研究的目的:
- 评估旨在缩短复杂尾炎抗生素治疗时间的干预措施的影响.
- 评估质量改善计划在修改抗生素处方习惯方面的有效性.
- 确定减少抗生素持续时间对患者安全和医疗保健资源利用的影响.
主要方法:
- 实施了一项质量改进计划,包括员工教育,抗生素使用监测,反和释放计划提醒.
- 关于抗生素持续时间,每日定义剂量 (DDD) 和成本的数据是在基线和两个计划-做-研究-行动 (PDSA) 干预周期中收集的.
- 在干预后的30天内,对患者的结果进行了监测,以评估不良事件.
主要成果:
- 在PDSA周期2期间,与基线相比,抗生素治疗日减少了29.5%.
- 抗生素消费减少了38.7%,相关成本减少了24.6%.
- 在30天的随访期间,没有观察到任何不良患者结果.
结论:
- 质量改善干预成功优化了复杂尾炎病例中的抗生素使用.
- 较短的抗生素持续时间导致医疗保健效率提高和成本降低.
- 该干预措施显示了预防抗菌素耐药性和其他不良影响的潜力.
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