提高儿科出院用药安全性和效率的质量改进倡议。

IF 1.2 Q3 PEDIATRICS
Lisa M Ring, Jamie Cinotti, Lisa A Hom, Mary Mullenholz, Jordan Mangum, Sameeya Ahmed-Winston, Jenhao Jacob Cheng, Ellie Randolph, Ashraf S Harahsheh
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引用次数: 0

摘要

用药错误是主要的安全问题,特别是对于英语水平和健康知识有限的家庭,以及出院时服用多种药物且时间表复杂的患者。集成多语言电子出院用药平台可能有助于减少用药错误。该质量改进(QI)项目的主要目标(过程测量)是到2021年7月将心血管手术和血液和骨髓移植患者出院时以及首次门诊随访时综合MedActionPlanPro (MAP)电子健康记录(EHR)的利用率提高到80%。方法:该QI项目于2020年8月至2021年7月在2个亚专科儿科急症住院单位和各自的门诊进行。一个跨学科小组制定并实施了干预措施,包括将MAP纳入电子病历;该团队跟踪并分析了出院药物匹配的结果,并在2021年2月1日进行了疗效和安全性MAP整合。统计过程控制图表跟踪进度。结果:在实施QI干预措施后,急症护理心脏病科-心血管外科/血液和骨髓移植科的电子病历中综合MAP的使用率从0%增加到73%。每位患者的平均使用时间(结果测量)从基线期间的中心线0.89小时下降到0.27小时,下降了70%。此外,Cerner住院患者与MAP住院患者的药物匹配度较干预后显著提高了25.6% (P < 0.001)。结论:将MAP纳入电子病历可提高住院患者出院用药和解安全性和提供者效率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A Quality Improvement Initiative to Improve Pediatric Discharge Medication Safety and Efficiency.

A Quality Improvement Initiative to Improve Pediatric Discharge Medication Safety and Efficiency.

A Quality Improvement Initiative to Improve Pediatric Discharge Medication Safety and Efficiency.

A Quality Improvement Initiative to Improve Pediatric Discharge Medication Safety and Efficiency.

Medication errors are a leading safety concern, especially for families with limited English proficiency and health literacy, and patients discharged on multiple medications with complex schedules. Integration of a multilanguage electronic discharge medication platform may help decrease medication errors. This quality improvement (QI) project's primary aim (process measure) was to increase utilization in the electronic health record (EHR) of the integrated MedActionPlanPro (MAP) for cardiovascular surgery and blood and marrow transplant patients at hospital discharge and for the first clinic follow-up visit to 80% by July 2021.

Methods: This QI project occurred between August 2020 and July 2021 on 2 subspecialty pediatric acute care inpatient units and respective outpatient clinics. An interdisciplinary team developed and implemented interventions, including integration of MAP within EHR; the team tracked and analyzed outcomes for discharge medication matching, and efficacy and safety MAP integration occurred with a go-live date of February 1, 2021. Statistical process control charts tracked progress.

Results: Following the implementation of the QI interventions, there was an increase from 0% to 73% in the utilization of the integrated MAP in the EHR across the acute care cardiology unit-cardiovascular surgery/blood and marrow transplant units. The average user hours per patient (outcome measure) decreased 70% from the centerline of 0.89 hours during the baseline period to 0.27 hours. In addition, the medication matching between Cerner inpatient and MAP inpatient increased significantly from baseline to postintervention by 25.6% (P < 0.001).

Conclusion: MAP integration into the EHR was associated with improved inpatient discharge medication reconciliation safety and provider efficiency.

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CiteScore
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