• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Medical Informatics and Decision Making >Improving antibiotic prescribing for adults with community acquired pneumonia: Does a computerised decision support system achieve more than academic detailing alone? – a time series analysis
【24h】

Improving antibiotic prescribing for adults with community acquired pneumonia: Does a computerised decision support system achieve more than academic detailing alone? – a time series analysis

机译：改善患有社区获得性肺炎的成年人的抗生素处方：计算机决策支持系统是否比单纯的学术细节能获得更多的收益？ –时间序列分析

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background The ideal method to encourage uptake of clinical guidelines in hospitals is not known. Several strategies have been suggested. This study evaluates the impact of academic detailing and a computerised decision support system (CDSS) on clinicians' prescribing behaviour for patients with community acquired pneumonia (CAP). Methods The management of all patients presenting to the emergency department over three successive time periods was evaluated; the baseline, academic detailing and CDSS periods. The rate of empiric antibiotic prescribing that was concordant with recommendations was studied over time comparing pre and post periods and using an interrupted time series analysis. Results The odds ratio for concordant therapy in the academic detailing period, after adjustment for age, illness severity and suspicion of aspiration, compared with the baseline period was OR = 2.79 [1.88, 4.14], p Conclusion Deployment of a computerised decision support system was associated with an early improvement in antibiotic prescribing practices which was greater than the changes seen with academic detailing. The sustainability of this intervention requires further evaluation.
机译：背景技术尚无鼓励医院采用临床指南的理想方法。已经提出了几种策略。这项研究评估了学术细节和计算机决策支持系统（CDSS）对社区获得性肺炎（CAP）患者临床医生处方行为的影响。方法对连续三个时间段内急诊科的所有患者进行评估。基线，学术细节和CDSS时期。随着时间的流逝，我们比较了前后的经验，并使用了中断的时间序列分析，研究了与推荐相一致的经验性抗生素处方率。结果在调整了年龄，疾病严重程度和可疑误诊后的学术详细说明期内，与基线期相比，协调治疗的优势比为OR = 2.79 [1.88，4.14]，p结论部署了计算机决策支持系统与抗生素处方实践的早期改善相关，该改善大于学术细节方面的变化。这种干预的可持续性需要进一步评估。

著录项

相似文献

  • 外文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号