肯尼亚Uasin Gishu县一家公立医院的手写处方实践:最佳实践实施项目。

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Jbi Evidence Implementation Pub Date : 2023-12-01 DOI:10.1097/XEB.0000000000000390
Henry Amdany, Jedidah W Kiprop
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引用次数: 0

摘要

背景:处方书写错误是卫生部门的常见现象。适当的手写处方可以最大限度地减少医疗药品配药过程中的医疗错误。目的:该项目旨在确定临床医生在多大程度上遵守手写药物处方最佳实践,并实施循证策略,以提高门诊部对手写处方最佳实践的依从性。方法:该项目在概念上依据循证医疗的JBI模型和JBI证据实施框架。使用JBI的临床证据系统实际应用(PACES)软件收集和分析基线和随访审计数据。JBI将研究付诸实践(GRiP)计划用于识别潜在的障碍并设计干预策略。该项目在肯尼亚乌阿辛吉舒县的一家公立医院门诊部进行。结果:接受过手写药物处方基本特征教育的处方医生的依从性提高了100%。在随访审计中,显示患者姓名(99%)和处方日期(98%)的处方依从性很高。大约一半的处方包括在基线和随访审计中对该疾病的诊断。然而,在后续审计中,只有21%的处方字迹清晰,27%的处方使用仿制药名称。结论:通过持续的医学教育、医院沟通论坛和通知,定期审计和传播审计结果,提高了对包含患者标识符和处方日期的处方数量的遵守率。
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Handwritten prescription practices in a public hospital in Uasin Gishu County, Kenya: a best practice implementation project.

Background: Prescription writing error is a common phenomenon in the health sector. Appropriate handwritten prescription practices minimize medical errors during medical drug dispensing.

Objectives: This project aimed to identify the extent to which clinicians adhere to handwritten drug prescription best practices and implement evidence-based strategies to improve compliance with handwritten prescription best practices in an outpatient department.

Methods: The project was conceptually informed by the JBI Model of Evidence-Based Health care and the JBI Evidence Implementation Framework. Baseline and follow-up audit data were collected and analyzed using JBI's Practical Application of Clinical Evidence System (PACES) software. The JBI Getting Research into Practice (GRiP) program was used to identify potential barriers and design intervention strategies. The project was conducted in a public hospital outpatient department in Uasin Gishu County, Kenya.

Results: There was a 100% improvement in compliance with the number of prescribers who had received education on essential features of a handwritten drug prescription. High compliance was observed in prescriptions that indicated the patient name (99%) and date of prescription (98%) in the follow-up audit. Approximately half of the prescriptions included a diagnosis of the disease in both the baseline and the follow-up audit. However, in the follow-up audit, only 21% of the prescriptions had legible handwriting and 27% prescribed drugs using the generic drug name.

Conclusion: Regular audits and dissemination of audit findings through continuous medical education, hospital communication forums, and notices improved compliance with the number of prescriptions that contained the patient identifier and the date of prescription.

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CiteScore
3.20
自引率
13.00%
发文量
23
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