Esther Esadah, Elizabeth Ferguson, Kevin Ordons, Jennifer Woodring, Johanna Rosen
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引用次数: 0
Abstract
Objectives: The primary aim of this project was to improve the rate of prospective pharmacy verification of antibiotics in the emergency department (ED). We also aimed to streamline the process for intravenous (IV) antibiotic preparation and delivery without causing significant delays in antibiotic administration.
Methods: This retrospective evaluation compared pharmacist order verification rates for IV and oral antibiotics pre and post intervention between September 2021 and April 2022. Primary intervention involved modifications to the pharmacist verification queue and workflow prioritization. Process measures included time from order placement to pharmacy verification, pharmacy delivery, and administration. Statistical analysis of median times before and after the process change was conducted by using the Mann-Whitney U test. Control charts were used to illustrate the effect of the intervention over the defined period.
Results: During the evaluation period, a total of 2545 IV and oral antibiotic doses were ordered in the ED. The process change resulted in an increase in the number of ED IV and oral antibiotic orders verified before administration from 63% (875/1388) to 93% (1076/1157). There were substantial reductions in the pharmacy's median time to IV antibiotic order verification from 21 minutes to 7 minutes (IQR, 4-13; p < 0.05), and median time to IV antibiotic order delivery from 43 minutes to 27 minutes (IQR, 18-38; p < 0.05). Overall time to the first administrated IV antibiotic remained largely unaffected by the process change (50 vs 51 minutes; p = 0.16).
Conclusion: Implementation of mandatory pharmacy verification and preparation of IV doses in a high acuity environment like the ED is feasible without compromising antibiotic administration times.
期刊介绍:
The Journal of Pediatric Pharmacology and Therapeutics is the official journal of the Pediatric Pharmacy Advocacy Group. JPPT is a peer-reviewed multi disciplinary journal that is devoted to promoting the safe and effective use of medications in infants and children. To this end, the journal publishes practical information for all practitioners who provide care to pediatric patients. Each issue includes review articles, original clinical investigations, case reports, editorials, and other information relevant to pediatric medication therapy. The Journal focuses all work on issues related to the practice of pediatric pharmacology and therapeutics. The scope of content includes pharmacotherapy, extemporaneous compounding, dosing, methods of medication administration, medication error prevention, and legislative issues. The Journal will contain original research, review articles, short subjects, case reports, clinical investigations, editorials, and news from such organizations as the Pediatric Pharmacy Advocacy Group, the FDA, the American Academy of Pediatrics, the American Society of Health-System Pharmacists, and so on.