将卡伯戈林添加到产后订单中对艾滋病毒感染者订单和管理的影响
Laura Diamond1, Ahmad Hasan1, Jay McGillivray2
1Department of Obstetrics and Gynecology, University of Toronto, Toronto, ON.
概括
实施电子订单设置改善了对艾滋病毒感染的母亲的卡伯戈林 (cabergoline) 管理. 这种干预措施减少了近40%的管理时间,提高了对这一群体的护理.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 临床药房 临床药房
背景情况:
- 建议在加拿大为艾滋病毒感染母亲的婴儿提供独家配方食.
- 卡伯戈林是一种用于抑制非母乳养个体的哺乳期的药物.
- 卡贝戈林的整合到产后电子订单套件中是在2020年12月实施的.
研究的目的:
- 为了评估将卡贝戈林添加到电子医疗记录产后订单组中的影响.
- 为了确定干预措施是否改善了卡贝戈林的订购和管理.
主要方法:
- 对艾滋病毒感染者出生情况的回顾性图表审查.
- 干预前 (2018年11月至2020年12月) 和干预后 (2020年12月至2022年8月) 期间数据的比较.
- 统计分析包括费舍尔精确测试,t测试,曼-惠特尼测试和ANCOVA.
主要成果:
- 分析了84例分娩 (55例在干预前,29例在干预后).
- 卡伯戈林的使用率在干预前为83%,干预后为91%.
- 从出生到卡伯戈林的中位时间从257分钟减少到157分钟 (P=0.032).
结论:
- 在这两个时期,卡伯戈林的使用发生在超过75%的合格分娩中.
- 电子订单集干预显著减少了cabergoline的时间.
- 电子订单集可以有效地简化特定患者群体的临床过程.
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