药剂师领导的抗菌药物管理计划实施后,临床记录的质量变化:文本挖掘分析
Keisuke Sawada1,2, Shuji Kono1, Ryo Inose2
1Department of Pharmacy, Federation of National Public Service Personnel Mutual Aid Associations Hirakata Kohsai Hospital, 1-2-1, Fujisaka-higashi-machi, Hirakata-shi, 573-0153, Osaka, Japan.
Journal of pharmaceutical health care and sciences
|April 24, 2025
概括
文本挖掘揭示了在抗菌药物管理计划 (ASP) 实施后病房药剂师的文档的变化. 药剂师将重点从药物审查转移到感染评估和实验室监测,帮助在缺乏传染病专家的医院优化抗菌药物.
科学领域:
- 药理学 药理学是指药理学的学科.
- 医疗信息学 医疗信息学
- 临床药房 临床药房
背景情况:
- 抗微生物药物管理计划 (ASP) 对于优化抗微生物药物使用至关重要.
- 中型医院往往缺乏传染病 (ID) 专家,需要采用替代方法.
- 病房药剂师在ASP中发挥着关键作用,但实施后的实践模式变化需要评估.
研究的目的:
- 探索文本挖掘作为评估病房药剂师抗菌药物管理实践变化的新方法.
- 评估ASP实施对中型医院没有ID医生的药剂师文件的影响.
主要方法:
- 对1353个ASP前和5155个ASP后的临床记录 (2014年4月至2022年3月) 的回顾性分析.
- 基于Python的文本挖掘,包括形态分析和并发网络分析,以评估文档模式.
- 使用Dice系数和社区检测的Louvain算法进行文档重点转移的比较.
主要成果:
- 与抗微生物相关的记录在ASP实施后显著增加.
- 对关键实验室参数 (CRP,eGFR,WBC) 产生强烈的并发关系.
- 文件的重点从以药物为中心的转变为以感染为中心的社区,并更加重视实验室监测和感染评估.
结论:
- 文本挖掘为评估临床实践模式的定性变化提供了一种新的客观方法.
- 该研究成功地确定了药剂师的文档重点在ASP实施后的转变.
- 研究结果为未来在多个医疗保健机构的多中心验证研究提供了基础.
关键词:
抗菌药物管理计划 抗菌药物管理计划同时发生的网络分析网络分析传染病 传染病 传染病 传染病医疗记录 医疗记录 医疗记录一个中等规模的医院.文本挖掘 (Text Mining) 是一种文字挖掘方式.病房药剂师 病房药剂师更多相关视频
相关概念视频
01:11Purpose of Health Records I
1.1K
The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes:
1.1K
01:22Healthcare Associated Infections II: Preventive Measures
2.3K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.3K
01:26Methods of Documentation II: POMR
844
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
844
01:27Types of Records I: Unit and Nurses Records
965
Unit records in healthcare settings document the patient's treatment history, including interventions, medications, diagnostic and laboratory results, progress notes, personal care needs, vital signs, and other medical information. They are crucial for managing patient care, aiding healthcare professionals in providing quality treatment and informed decision-making.
Unit records can be divided into two main types: administrative records and clinical records.
Administrative records in...
Unit records can be divided into two main types: administrative records and clinical records.
Administrative records in...
965
01:15Methods of Documentation VI: Case Management Model
541
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
541
01:19Purpose of Health Records II
880
Health records serve various essential purposes in the healthcare system. Here are some key purposes:
880