开发和实施自动验证最佳实践
Amirah Assabahi1, Carolyne Ma2, Samuel Culli3
1Wolters Kluwer, Indianapolis, IN, USA.
概括
药剂师重新评估了自动验证 (AV) 实践,以提高药物安全性. 重新设计电子健康记录 (EHR) 算法提高了与监管标准的协调性,确保了更安全的药物订单处理.
科学领域:
- 药房实践 在药房实践中
- 医疗信息学 医疗信息学
- 药物安全 药物安全
背景情况:
- 自动验证 (AV) 允许药物订单绕过电子健康记录 (EHR) 中的药剂师审查.
- 有限的指导和争论的法规需要重新评估AV安全原则.
- 一项质量改善计划在一个主要的学术医疗中心解决了这些挑战.
研究的目的:
- 描述一个由药剂师领导的重新评估自验证实践的过程.
- 确保与药物安全原则和监管要求保持一致.
- 重新设计自动验证算法和政策,以提高安全性和合规性.
主要方法:
- 文学综述和对电子病历配置的分析.
- 现有AV实践与ASHP和联合委员会指导方针的交叉.
- 阶段性实施,包括表征,差距分析和政策重新设计.
主要成果:
- 鉴定药物安全差距导致了算法重新设计,将规则从16简化为4.
- 实施更新的AV政策和维护流程.
- 后期实施显示,AV订单量没有显著变化,但对订单集的AV使用量增加.
结论:
- 药房部门成功地重新设计了自动验证策略和EHR配置.
- 更新的流程与当前的监管标准保持一致.
- 现在有一个系统来适当审查新的AV提案.
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