A computer-assisted management program for antibiotics and other antiinfective agents
A computer-assisted management program for antibiotics and other antiinfective agents
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DOI：
10.1056/nejm199801223380406
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发表时间：
1998-01-22
影响因子：
158.5
通讯作者：
Burke, JP
中科院分区：
文献类型：
--
作者：
Evans, RS;Pestotnik, SL;Burke, JP
背景与方法危重患者使用抗生素和其他抗感染药物的最佳决策需要获得大量复杂的信息。我们已经开发了一个计算机决策支持程序，该程序与基于计算机的患者记录相关联，可以帮助医生使用抗感染药物并提高护理质量。该计划提供流行病学信息，以及详细的建议和警告。该程序为特定患者推荐抗感染方案和疗程，并提供即时反馈。我们前瞻性地研究了在12个床位的重症监护病房使用计算机化抗感染管理程序一年。结果在干预期内，545例患者均得到了抗感染管理方案的护理。将过程和结果的测量结果与干预期前两年同一单位收治的1136名患者的测量结果进行比较。该计划的使用导致患者报告过敏的药物订单显著减少(35例，而干预前为146例
Background and Methods Optimal decisions about the use of antibiotics and other antiinfective agents in critically ill patients require access to a large amount of complex information. We have developed a computerized decision-support program linked to computer-based patient records that can assist physicians in the use of antiinfective agents and improve the quality of care. This program presents epidemiologic information, along with detailed recommendations and warnings. The program recommends antiinfective regimens and courses of therapy for particular patients and provides immediate feedback. We prospectively studied the use of the computerized antiinfectives-management program for one year in a 12-bed intensive care unit.Results During the intervention period, all 545 patients admitted were cared for with the aid of the antiinfectives-management program. Measures of processes and outcomes were compared with those for the 1136 patients admitted to the same unit during the two years before the intervention period. The use of the program led to significant reductions in orders for drugs to which the patients had reported allergies (35, vs. 146 during the preintervention period; P