确保在重症监护室预防压力的实践中遵守指南并节省成本:一项前后教育研究
Yunus Emre Ayhan1, Namigar Turgut2
1Prof. Dr. Cemil Taşcıoğlu City Hospital, Department of Clinical Pharmacy, Istanbul, Türkiye.
一个教育计划改善了在重症监护室 (ICU) 遵守压力预防 (SUP) 准则. 这减少了不适当的SUP使用和相关成本,显示出大大节省医疗保健的潜力.
科学领域:
- 药理学 药理学是指药理学的学科.
- 临界护理医学 临界护理医学
- 卫生经济学 卫生经济学
背景情况:
- 不适当地使用压力预防 (SUP) 在重症监护病房 (ICU) 普遍存在.
- 遵守SUP的既定准则是不理想的.
- 这可能会导致医疗保健成本增加和潜在的患者伤害.
研究的目的:
- 评估教育计划对SUP准则遵守的影响.
- 评估改善依从性对ICU中SUP相关成本的影响.
- 通过优化 SUP 使用来促进成本节约.
主要方法:
- 一项非随机的,受控的,前性研究,采用前教育 (PreEd) 和后教育 (PostEd) 模型.
- 基于葡萄牙护理协会 (SPC) SUP指南的SUP适宜性的评估.
- 分析教育干预之前和之后的坚持率和相关成本.
主要成果:
- 适当的SUP指标从PreEd中的38.3%增加到PostEd中的47.8% (p = 0.005).
- 与不适当的SUP和质子抑制剂使用相关的总成本从272美元降至246美元.
- 由于减少了不适当的SUP剂的使用,每名患者节省了34美元的成本.
结论:
- 不适当地使用SUP是ICU中的一个重要问题.
- 教育干预可以提高准则的遵守.
- 临床药剂师的参与和遵守指导方针可以减少不适当的SUP使用和相关的医疗保健支出.
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