通过自动化仪表板提高高风险骨质疏松症药物坚持和安全性
Danielle H Tran1, Radhika Narla2,3, Magdalena Wojtowicz3
1University of Washington, Seattle.
概括
一个自动化仪表板通过标记退伍军人的逾期测试和预约来改善骨质疏松症护理. 这种工具提高了患者的安全性,并最大限度地减少了治疗缺口,证明了超越流行病的价值.
科学领域:
- 骨质疏松症的管理
- 医疗信息学 医疗信息学
- 人口健康 人口健康
背景情况:
- 骨质疏松症治疗需要仔细监测,因为成本,实验室需求,剂量和序列.
- 随着COVID-19的流行,骨质疏松症患者的管理面临的挑战变得更加严峻.
- 在退伍军人事务部骨质疏松症诊所开发了一个自动化仪表板,用于人口健康管理.
研究的目的:
- 创建一个自动化仪表板来管理骨质疏松症患者的护理.
- 识别和解决未满足的护理需求,包括逾期处方,预约和实验室测试.
主要方法:
- 开发了一种自动化仪表板,用于跟踪服用阿伦德罗纳特,索尔德罗尼酸,阿巴洛帕拉提德,德诺苏马布或罗莫苏马布的患者.
- 仪表板监控过期的处方,预约和实验室测试在参考范围之外.
主要成果:
- 仪表板显示了139名患者,其中66%的患者有未满足的护理需求.
- 最常见的警报涉及过期的实验室检测 (29%) 和过期的药物相关预约 (20%).
- 具体的警报包括对双酸盐使用者的过时实验室测试和错过了静脉注射双酸盐的预约.
结论:
- 仪表板有效地提醒骨质疏松症团队逾期护理要素,减少治疗缺口并提高安全性.
- 该工具仍然是骨质疏松症护理协调的宝贵资源,有可能在医疗保健系统中得到更广泛的应用.
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