通过新的电子健康记录系统实现分配废物功能
Alysa Baumann1, Nicole Fitzpatrick2, Diana Fitzgerald3
1Department of Pharmacy & Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.
概括
实施药物废弃物文档的JZ修改器在8个月内使合规性从31.1%提高到85.9%. 这一变化确保了单剂量药物的准确计费和资源管理.
科学领域:
- 药房实践 在药房实践.
- 医疗保健管理部门的管理.
- 监管合规性 监管合规性
背景情况:
- JW 修饰方便废弃药物的计费,而 JZ 修饰方则表示从单剂量容器中没有废弃.
- 准确的修饰剂使用对于资源管理至关重要,特别是在患者特定剂量的儿科环境中.
- 美国医疗保险和医疗补助服务中心要求从2023年7月1日开始,对单剂量容器药物进行JZ修饰者报告.
研究的目的:
- 实施和调整符合JZ修改器文档的监管合规性实践.
- 提高从单剂量容器中丢弃药物的报告准确度.
主要方法:
- 2023年6月的软启动允许进行流程调整.
- 准备过程中的初始废物文档是31.1%.
- 一名药房技术人员接受了废物回顾性文件的培训,随后进行了每月的监测和员工教育. 复合期间的实时文档在2024年2月增加到85.9%.
主要成果:
- 药物制备过程中的实时废弃物文档显著增加.
- 在8个月内,合规率从31.1%上升到85.9% (P < 0.001).
- 流程改进减少了对回顾性废物报告和相关资源利用的需求.
结论:
- 流程实施和员工教育是改善合规性的关键.
- 该研究表明,成功地过渡到准确的JZ修饰器文档.
- 增强的实时废物文档优化了资源管理和计费准确性.
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