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使用处方质量指标

Using prescribing quality indicators
Using prescribing quality indicators, Structural, Process, Outcome
© UoD 和 BSAC
我们现在将考虑如何结合抗生素使用模式的定量数据与抗生素使用质量的相关信息,制定处方指标以在实践中推动改进。
抗菌剂处方指标是明确定义的关于抗生素使用的可衡量项目,给出了可能的质量水平指标。通过它们,可以测量指定时段、不同地点之间以及干预前后的趋势。有三种主要的指标类型 – 结构、流程和结果。
结构型指标衡量是否建立了抗菌剂管理监管结构,例如医院是否建立了抗菌药物团队,该团队定期开会、向高级管理层报告并有行动计划。
流程指标衡量抗菌药物管理系统是否准备妥当,例如抗生素使用监管计划、审计计划、医疗人员教育。
结果指标用于衡量管理计划的影响,应当同时包含预期和意外结果,例如受限抗生素的使用减少(预期)以及对推荐抗生素的耐药性升高(意外)。
Public Heath England Start Smart Then Focus publication 英格兰公众健康局《先有开始,然后专注》出版物》) 中推荐了合适的抗菌药物管理指标,您可能会发现它们非常有用。
© UoD 和 BSAC
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抗菌素管理: 管理抗生素耐药性

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