某三级医院医生对静脉注射泮托拉唑的依从性

Q3 Medicine
Maryam Taghizadeh-Ghehi, Saeideh Mousavi, Bahareh Laki, Mona Kargar, Mohammad Reza Javadi, Kheirollah Gholami
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引用次数: 0

摘要

& # x0D;& # x0D;& # x0D;静脉注射(IV)泮托拉唑由于其高成本而广泛不适当的使用是一个实质性问题。为促进其合理使用,实施了基于制度指引的订单输入表。要求医生在静脉注射泮托拉唑时填写OEF。我们旨在评估医生的依从性以及实施六个月后填写的OEFs的准确性。这项研究在德黑兰的一家三级护理教学医院进行。对所有静脉注射泮托拉唑的患者进行图表回顾。从数量和质量(例如,填写项目的完整性、准确性等)方面对医院药房为这些患者提供的静脉注射泮托拉唑OEFs进行评估。只有270例(62%)患者获得了医院药房的OEFs。199份(73.5%)表格中明确了适应症,与研究者填写的表格的一致性为37.8%。OEFs中最常见的适应症是应激性溃疡预防(40.7%)。泮托拉唑静脉给药合理性仅为15.9%。急诊病房医嘱频次最高(57.9%),医嘱填写率最低(56.7%)。研究者与OEFs在静脉注射药物必要性方面的分歧为39.5%。本研究表明,医生对准确完成OEFs的依从性是次优的。似乎对于静脉注射泮托拉唑使用模式的长期改变,应确定障碍,并可能需要其他方法,如持续的教育研讨会或反馈与OEF一起。& # x0D;& # x0D;
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Physicians’ Compliance With Order Entry Forms for Intravenous Pantoprazole in a Tertiary Care Hospital
The widespread inappropriate use of intravenous (IV) pantoprazole, due to its high cost, is a substantial issue. To improve its rational use, an order entry form (OEF) based on the institutional guideline, was implemented. Physicians were required to fill an OEF upon administration of IV pantoprazole. We aimed to evaluate the compliance of physicians as well as the accuracy of filled OEFs six months after the implementation. The study was conducted in a tertiary care teaching hospital in Tehran. Chart review was performed for all patients with an IV pantoprazole order. IV pantoprazole OEFs received by the hospital pharmacy for these patients were evaluated in terms of quantity and quality (e.g., completeness, accuracy of filled items, etc.). Only for 270 (62%) patients, OEFs were received by the hospital pharmacy. Indications were specified in 199 (73.5%) forms, and their agreement with the forms filled by the researcher was 37.8%. The most frequent indication specified in OEFs was stress ulcer prophylaxis (40.7%). IV pantoprazole administration was rational only in 15.9% of cases. The emergency ward had the highest frequency of orders (57.9%), while having the lowest fill rate (56.7%) among the wards with the highest number of orders. The disagreement between the researcher and the OEFs regarding the need for IV medication was 39.5%. This study demonstrated that the compliance of physicians with the accurate completion of OEFs was suboptimal. It seems that for long-lasting changes in IV pantoprazole utilization patterns, barriers should be determined, and additional methods such as ongoing educational seminars or feedback might be needed along with OEF.
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来源期刊
Acta medica Iranica
Acta medica Iranica Medicine-Medicine (all)
CiteScore
0.70
自引率
0.00%
发文量
83
审稿时长
18 weeks
期刊介绍: ACTA MEDICA IRANICA (p. ISSN 0044-6025; e. ISSN: 1735-9694) is the official journal of the Faculty of Medicine, Tehran University of Medical Sciences. The journal is the oldest scientific medical journal of the country, which has been published from 1960 onward in English language. Although it had been published quarterly in the past, the journal has been published bimonthly (6 issues per year) from the year 2004. Acta Medica Iranica it is an international journal with multidisciplinary scope which publishes original research papers, review articles, case reports, and letters to the editor from all over the world. The journal has a wide scope and allows scientists, clinicians, and academic members to publish their original works in this field.
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