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首页> 外文期刊>The Canadian journal of hospital pharmacy. >Audit of Physicians' Adherence to a Preprinted Order Set for Community-Acquired Pneumonia
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Audit of Physicians' Adherence to a Preprinted Order Set for Community-Acquired Pneumonia

机译：审核医师对社区获得性肺炎的预印版遵守情况

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Background: Community-acquired pneumonia is the seventh leading cause of death in Canada. Previous studies have shown reductions in both mortality rate and length of hospital stay with the use of guideline-concordant empiric therapy and standardized preprinted orders.Objectives: The primary objective was to determine adherence to the preprinted order for community-acquired pneumonia at the University Hospital of Northern British Columbia (UHNBC). The study also had the following secondary objectives: to assess the appropriateness of prescribing of levofloxacin in relation to institutional recommendations; to determine adherence with recent guidelines from the Infectious Diseases Society of America (IDSA) and the American Thoracic Society (ATS) for the treatment of community-acquired pneumonia; and to determine all-cause mortality, duration of IV antibiotic therapy, and length of stay for the various regimens reviewed.Methods: A retrospective observational chart review was conducted of patients with community-acquired pneumonia who were admitted between November 2007 and February 2008. Exclusion criteria were designed to eliminate patients who did not have this condition. Descriptive statistics were used to assess adherence with the preprinted order. Secondary outcomes were analyzed with the Pearson x~2 test t tests, and analysis of variance.
机译：背景：社区获得性肺炎是加拿大第七大死亡原因。先前的研究表明，通过使用指南一致的经验疗法和标准化的预印本来降低死亡率和住院时间。目的：主要目的是确定大学医院社区获得性肺炎对预印本的依从性北不列颠哥伦比亚省（UHNBC）。该研究还具有以下次要目标：评估与机构推荐有关的左氧氟沙星处方的适宜性;确定是否遵守美国传染病学会（IDSA）和美国胸腔学会（ATS）的最新指南，以治疗社区获得性肺炎;方法：对2007年11月至2008年2月期间入院的社区获得性肺炎患者进行回顾性观察图回顾，以了解各种治疗方案的全因死亡率，IV抗生素治疗的持续时间和住院时间。设计排除标准以消除没有这种情况的患者。描述性统计数据用于评估对预印本订单的遵守情况。次要结局通过Pearson x〜2检验t检验进行分析，并进行方差分析。

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