实施全医院EHR集成的抗生素挑战订单
Wesley Hoffmann1, Shivani Patel1, Shemual Tsai1
1Department of Pharmacy, Houston Methodist Hospital, Houston, TX, USA.
Antimicrobial stewardship & healthcare epidemiology : ASHE
|November 3, 2025
概括
一个新的电子健康记录订单为报告过敏的患者设定了标准化的抗生素挑战. 这种工具改善了九家医院的安全抗生素重新引入.
科学领域:
- 临床信息学 临床信息学
- 药理学 药理学是指药理学的学科.
- 传染性疾病 传染性疾病
背景情况:
- 经常报告抗生素过敏,导致广泛使用抗生素.
- 在临床实践中缺乏对抗生素过敏评估的标准化.
研究的目的:
- 实施和评估电子健康记录集成的订单,以标准化直接抗生素挑战.
- 改善在报告过敏的患者中安全地重新引入抗生素.
主要方法:
- 在九个医疗机构中实施了一套电子健康记录集成的订单集.
- 订单包括抗生素选择,剂量,监测和救援协议.
- 对那些报告过敏的患者进行了直接的抗生素挑战.
主要成果:
- 在第一年,有104名患者接受了抗生素挑战.
- 大多数挑战是口头的 (79%) 和两步的 (39%).
- 综合订单组促进了医院医生和小专家的采用.
结论:
- 电子健康记录集成的订单集可以有效地标准化抗生素挑战协议.
- 标准化协议改善了对抗生素过敏的安全评估.
- 这种方法促进了抗生素管理,并减少了对不必要的广谱药物的依赖.
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