항생제 처방 시스템 순응도 및 사용자 평가 (Prescriber Compliance and Awareness of an Antibiotic Prescription Support System at a Tertiary Care Hospital)

서지정보

· 발행기관 : 한국병원약사회
· 수록지 정보 : 병원약사회지 / 39권 / 4호 / 462 ~ 475페이지
· 저자명 : 공현진, 허은정, 김형숙, 정영미, 이정화, Eunkyung Euni Lee, 이주연, 정종탁, 송경호, 김의석, 김홍빈

초록

Background : An antibiotic prescription system is introduced at Seoul National University Bundang Hospital to encourage appropriate antibiotic use. The system suggests a list of recommended antibiotics according to the tailored purpose of a prescription, such as empirical therapy, specific pathogen target, and surgical prophylaxis. The aim of this study is to describe the prescriber compliance and awareness regarding the system at a tertiary care hospital in Korea.
Methods : We compared the purpose of a prescription chosen in the antibiotic prescription system with the actual infectious diseases confirmed via electronic health records (EHRs) to determine the prescriber’s compliance with the system. To investigate the perception, usability, and improvements of the antibiotic prescription system, we also conducted a survey of its users.
Results : Regarding compliance, 52 out of 120 cases (43.3%) reviewed showed that the purpose of a prescription chosen in the system were consistent with those of the EHRs. Our survey of user awareness of the system garnered a 19.7% response rate (59 out of 300). About 45.8% of the respondents agreed with the necessity for such a system, while 28.8% disagreed and 88.2% noted that the system was inconvenient. 69.4% answered under 60% of purpose match rate and 77.9% answered under 60% of prescription rate within recommended lists. The most response to improvements was error or lack of information provided by the system.
Conclusion : This study revealed a low match rate between the purpose of a prescription chosen in the antibiotic prescription system and those confirmed through EHRs. Periodic feedback on the use of the system and training on its use and purpose are hence necessary to increase user compliance with the system and encourage appropriate antibiotic usage.

영어초록

Background : An antibiotic prescription system is introduced at Seoul National University Bundang Hospital to encourage appropriate antibiotic use. The system suggests a list of recommended antibiotics according to the tailored purpose of a prescription, such as empirical therapy, specific pathogen target, and surgical prophylaxis. The aim of this study is to describe the prescriber compliance and awareness regarding the system at a tertiary care hospital in Korea.
Methods : We compared the purpose of a prescription chosen in the antibiotic prescription system with the actual infectious diseases confirmed via electronic health records (EHRs) to determine the prescriber’s compliance with the system. To investigate the perception, usability, and improvements of the antibiotic prescription system, we also conducted a survey of its users.
Results : Regarding compliance, 52 out of 120 cases (43.3%) reviewed showed that the purpose of a prescription chosen in the system were consistent with those of the EHRs. Our survey of user awareness of the system garnered a 19.7% response rate (59 out of 300). About 45.8% of the respondents agreed with the necessity for such a system, while 28.8% disagreed and 88.2% noted that the system was inconvenient. 69.4% answered under 60% of purpose match rate and 77.9% answered under 60% of prescription rate within recommended lists. The most response to improvements was error or lack of information provided by the system.
Conclusion : This study revealed a low match rate between the purpose of a prescription chosen in the antibiotic prescription system and those confirmed through EHRs. Periodic feedback on the use of the system and training on its use and purpose are hence necessary to increase user compliance with the system and encourage appropriate antibiotic usage.

참고자료

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