利用信息技术促进疫苗的安全和有效使用
Alana Darby1, Casey Moore1, Chanda Mullen1
1Department of Pharmacy, Cleveland Clinic, Cleveland, OH, USA.
概括
安全药物实践研究所 (ISMP) 制定了最佳实践,以防止疫苗错误. 实施电子健康记录 (EHR) 干预措施,以改善疫苗安全性和遵守免疫计划.
科学领域:
- 医疗信息学 医疗信息学
- 患者安全 患者安全
- 免疫接种实践 免疫接种实践
背景情况:
- 与疫苗相关的错误对患者安全构成重大风险.
- 安全药物实践研究所 (ISMP) 确定需要针对性策略来防止这些错误.
- 在ISMP最佳实践22中概述了预防疫苗错误的10种干预措施.
研究的目的:
- 概述基于操作和电子健康记录 (EHR) 的干预措施,以减轻疫苗错误.
- 详细介绍这些干预措施在医疗保健系统中的成功实施情况.
- 为提高疫苗安全,与ISMP最佳实践22保持一致.
主要方法:
- 在EHR中实施标准化疫苗命名法.
- 为预防常见的错误 (错误的间隔,剂量,年龄) 开发用于疫苗的EHR警报.
- 引入订购决策支持,为供应商分组疫苗订单.
- 在EHR中添加管理特定的问题,以指导疫苗接种实践.
主要成果:
- 成功实施基于EHR的干预措施,以解决ISMP最佳实践 22.
- 标准化和EHR警报已经有效地防止了特定的疫苗注射错误.
- 通过EHR决策支持和提示,改进了提供者订购和管理实践.
结论:
- 基于EHR的机制对于确保疫苗使用的安全性和有效性至关重要.
- 来自ISMP等机构的外部指导可以有效地转化为EHR工具.
- 需要持续努力,以识别和解决疫苗安全过程中的剩余差距.
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