沙特阿拉伯塔伊夫市 Al Hada 武装部队医院门诊病人肠外抗菌疗法 (OPAT) 的影响

Jean B. De Asis, Abdulrahman Al Ghamdi, Muhammed H. Abid, Jamal Al Nofeye, Reynan S. Bautista
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摘要

在医疗质量领域,门诊肠外抗菌疗法(OPAT)已成为管理已脱离住院治疗但仍需延长静脉注射抗菌药物治疗的患者的黄金标准。沙特阿拉伯塔伊夫的 Al Hada 武装部队医院采用 OPAT 不仅提高了患者的满意度,还缩短了住院时间,降低了急诊科再入院率,全面减少了医疗支出。本研究的主要目的是评估 OPAT 在沙特阿拉伯一家三级医疗中心的有效性。在这项回顾性调查中,我们对 2020 年 11 月至 2021 年 10 月期间的患者病历进行了全面审查。我们的研究涵盖了在这一特定时间段内静脉注射抗生素并参与医院 OPAT 计划的所有患者。我们的主要目标是将与长期抗生素治疗相关的住院总天数减少 20%。OPAT 计划的实施为医院带来了多方面的转变。从 2020 年 11 月到 2021 年 10 月的一年时间里,需要静脉注射抗生素的患者比例明显下降。随着 OPAT 质量改进项目的实施,这一比例最初从 23% 降至 12%,后来甚至降至 8%。这一积极的转变不仅对病人护理产生了积极影响,还节省了大量成本,超过 200 万里亚尔。节省费用的主要原因是缩短了住院时间,提高了资源分配效率。此外,这一改进还避免了 673 个病人住院日,从而为更危重的病例创造了更多的资源。OPAT 已成为 Al Hada 武装部队医院致力于提高医疗质量的重要组成部分。本摘要简明扼要地介绍了 OPAT 在特定医疗环境中对质量驱动的影响,强调了其优化患者护理、提高医疗效率和改善资源分配的能力。持续的研究和不断的评估将在完善和扩展 OPAT 计划的过程中发挥关键作用,同时保留其质量导向的观点。
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The Impact of Outpatient Parenteral Antimicrobial Therapy (OPAT) in Al Hada Armed Forces Hospital, Taif, Saudi Arabia
In the realm of healthcare quality, outpatient parenteral antimicrobial therapy (OPAT) has emerged as the gold standard for managing patients who have transitioned from inpatient care but still require extended intravenous antimicrobial treatment. The adoption of OPAT at Al Hada Armed Forces Hospital in Taif, Saudi Arabia, not only bolsters patient satisfaction but also serves as a catalyst for reduced hospitalization durations, lower rates of emergency department readmissions, and an overall reduction in healthcare expenditures. The main objective of this study was to evaluate the effectiveness of OPAT in a tertiary center facility in Saudi Arabia. In this retrospective investigation, we conducted a thorough review of patient records spanning from November 2020 to October 2021. Our study encompassed all patients who had intravenous antibiotics and were participants in the hospital’s OPAT program during this specific timeframe. Our primary goal was to achieve a 20% reduction in the total number of hospital bed days related to long-term antibiotic therapy. The incorporation of OPAT has yielded a multifaceted transformation within the hospital. Over the span of one year, from November 2020 to October 2021, there was a notable decrease in the proportion of patients requiring intravenous antibiotics. This percentage initially dropped from 23% to 12% with the implementation of the OPAT quality improvement project, and later, it reached an even lower 8%. This positive transformation not only had a positive impact on patient care but also led to significant cost savings, exceeding 2 million riyals. These savings were primarily driven by the reduction in hospitalization duration and the more efficient allocation of resources. Moreover, this improvement contributed to the avoidance of 673 patient days of hospitalization, thereby creating additional resources for more critical cases. OPAT has emerged as a pivotal component of Al Hada Armed Forces Hospital’s commitment to elevating healthcare quality. This abstract offers a concise insight into the quality-driven impact of OPAT within a specific healthcare context, underlining its capacity to optimize patient care, enhance healthcare efficiency, and elevate resource allocation. Ongoing research and continuous evaluation will play a critical role in refining and expanding the OPAT program while preserving its quality-oriented perspective.
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