지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Objective: This study was to define the clinical effect on the clinical decision support system (CDSS) for prescribing antibiotics integrated with the order communication system in a National Hospital. Method: We extracted data collected before integrating the CDSS of 4,406 adult patients in 2007 and data collected after integrating the CDSS of 4,278 adult patients in 2009. These patients were 50.4% and 45.2% of all patients admitted in 2007 and 2009, respectively. The clinical effect was defined as the proportion of prescribed antibiotics, the length of antibiotics use, and the DDDs (defined daily doses) of antibiotics per 1,000 patient-days using these retrospective data. Results: There were a significant change in the proportion of patient prescribed penicillins with extended spectrum (OR=0.55, p=001), penicillins included beta-lactamase inhibitors (OR=0.75, p<.001), 3rd cephalosporin (OR=1.47, p<.001). The mean of the length of antibiotics use was decreased statistically from 6.09±5.48 to 5.85±5.51 days (p=.003). The DDD of glycopeptides was decreased from 24.43 DDD to 19.55 DDD per 1000 patient-days. The DDD of 3rd cephalosporins was also decreased from 15.88 to 11.65. Conclusion: Therefore, the clinical decision support system for prescribing antibiotics was effective for the clinical outcomes.
목차
등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Cho I / 2010 / Design and implementation of a standards-based interoperable clinical decision support architecture in the context of the Korean EHR / Int J Med Inform 79 (9)
Evans RS / 2007 / Case studies in clinical decision support: LDS hospital experience. Clinical Decision Support: The Road Ahead / Academic press
Finch RG / 2002 / A critical assessment of published guidelines and other decision-support systems for the antibiotic treatment of community-acquired respiratory tract infec
Grayson ML / 2004 / Impact of an electronic antibiotic advice and approval system on antibiotic prescribing in an Australian teaching hospital / Med J Aust 180 : 455 ~ 458
Grijalva CG / 2009 / Antibiotic prescription rates for acute respiratory tract infections in US ambulatory settings / J Am Med Inform Assoc 302 (7) : 758 ~ 766
Evans RS / 2007 / Case studies in clinical decision support: LDS hospital experience. Clinical Decision Support: The Road Ahead / Academic press
Finch RG / 2002 / A critical assessment of published guidelines and other decision-support systems for the antibiotic treatment of community-acquired respiratory tract infec
Grayson ML / 2004 / Impact of an electronic antibiotic advice and approval system on antibiotic prescribing in an Australian teaching hospital / Med J Aust 180 : 455 ~ 458
Grijalva CG / 2009 / Antibiotic prescription rates for acute respiratory tract infections in US ambulatory settings / J Am Med Inform Assoc 302 (7) : 758 ~ 766
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