EVALUATION OF A COMPUTERIZED INFECTIOUS DISEASE MONITOR

该项目的主要努力旨在证明一个 可以使用计算机传染病监测仪来提高质量 以具有成本效益的方式对病人进行护理。我们建议开展三项工作 学习。 1)尽量减少预防性抗生素的不当使用。我们会 观察预防性抗生素的使用情况：a)术前，b) 术后立即和c)适当的持续时间。到时候我们会的 通过计算机提示实施干预策略 当不适当的抗生素被使用时，药剂师。药剂师 将联系医生，并告知他们不适当的治疗。我们 将观察和评估这种计算机反馈方法对 医生的行为、成本和病人护理质量的衡量标准。 2)优化使用治疗性抗菌药物。研究表明，15 根据药物敏感性，30%的患者使用无效的抗生素 结果。我们将对我们的数据库进行为期一年的审查，以评估 有问题。然后我们会通知药剂师，他们会联系 医生和评估他们的反应类似于第一项研究。 3)计算机化医院感染监测-我们将使用 计算机提醒传染病工作人员医院感染。 然后，传染病控制小组将提出建议。我们 将评估这些建议对医生行为的影响， 病人护理质量的成本和措施。

The principal efforts of this project are aimed at demonstrating that a computerized infectious disease monitor can be used to improve the quality of patient care in a cost effective manner. We propose to carry out three studies. 1) Minimize the inappropriate use of prophylactic antibiotics. We will observe the use of prophylactic antibiotics a) preoperatively, b) immediately postoperatively and c) for the proper duration. We will then implement an intervention strategy with the computer prompting the pharmacists when inappropriate antibiotics are being used. The pharmacists will contact physicians and inform them of the inappropriate therapy. We will observe and evaluate the effect of this computer feedback method on physician behavior, costs and measures of quality of patient care. 2) Optimize the use of therapeutic antibioties. Studies have shown that 15 to 30% of patients are on ineffective antibiotics based on susceptibility results. We will review our data base for a one year period to assess the problem. Then we will alert the pharmacists who will contact the physicians and evaluate their response similar to the first study. 3) Computerized nosocomial infection surveillance - We will use the computer to alert the infectious disease staff of nosocomial infections. The infectious disease control team will then make recommendations. We will evaluate the effect these recommendations have on physician behavior, costs and measures on quality of patient care.