Effect of High Risk Results Reminder System on the Interval of Changing Antibiotics Orders in a Hospital

• Main Authors: Wei-Ting Chen, 陳瑋婷
• Other Authors: Chien-Yeh Hsu
• Format: Others
• Language: zh-TW
• Published: 2007
• Online Access: http://ndltd.ncl.edu.tw/handle/27542755019934807552

碩士 === 臺北醫學大學 === 醫學資訊研究所 === 95 === Title of Thesis：Effect of High Risk Results Reminder System on the Interval of Changing Antibiotics Orders in a Hospital Author：Chen, Wei-Ting Thesis advised by ： Chien-Yeh Hsu Taipei Medical University, Graduate Institute of Medical Informatics Thesis co-advised by ： Li, Yu-Chuan National YangMing University, Institute of Biomedical Informatics Many research indicate that information technology can reduce medical errors and medical adverse events rate. The Department of Health improves patient safety by promoting information technology, including the establishment of High Risk Results Reminder System and its evaluation. This study also evaluates the effects of the establishment of High Risk Results Reminder System on the culture . Purpose：Effect of High Risk Results Reminder System on the interval of changing antibiotics orders in a hospital . Design and settings：The culture of High Risk Result Reminder System was activated in one medical center for a 6-month intervention period from January to June 2006; compared with a 6-month control period without intervention from January to June 2005. Result：When the system was set online, doctor reduced time to modify the antibiotics order. There was a significant difference after intervention (p=.004<0.05). The results of the culture in blood showed the significant difference between before and after the system online (p=0.010<0.05). In one day, the general ward there was significantly different between the system online before and after (p=0.010<0.05), but the ICU there showed no significant difference (p=0.151>0.05). Conclusions：Doctors have reduced time to modify the order after intervention of the system. The shorting of delay has proven to be more prominent in the general ward patients than in the ICU inpatients.