Conners Gregory P, Hays Daniel P
Department of Emergency Medicine, Pediatrics, University of Rochester Medical Center, Rochester, NY, USA.
Ann Emerg Med. 2007 Oct;50(4):414-8. doi: 10.1016/j.annemergmed.2007.04.014. Epub 2007 Jun 20.
We hypothesize that adding drugs previously only available from the hospital central pharmacy to an existing emergency department (ED) automated medication management system would alter the frequency with which they were ordered.
A pharmacy database of a large, urban, academic teaching hospital was used to retrospectively calculate changes in drug-ordering frequencies before and after study drugs were added to an ED automated medication management system. Study drugs had been recently added to our ED automated medication management system but were still available from the hospital central pharmacy and were not the subject of changes in hospital prescribing protocols.
Four drug preparations met study criteria: moxifloxacin injection, moxifloxacin tablets, azithromycin injection, and pantoprazole injection. All had large increases (4.0-, 7.2-, 6.5-, and 25.0-fold, respectively) in ordering frequency after addition to the ED automated medication management system. Changes in order frequency strongly correlated with how often orders were filled from the ED automated medication management system rather than the hospital central pharmacy.
Adding drug preparations to an existing ED automated medication management system increased the frequency with which they were ordered, especially when they were most reliably obtained from the system rather than the central hospital pharmacy. Adding drugs to an ED automated medication management system influences physician drug ordering.
我们假设将以前仅能从医院中心药房获取的药物添加到现有的急诊科（ED）自动化药物管理系统中，会改变这些药物的医嘱开具频率。
利用一家大型城市学术教学医院的药房数据库，回顾性计算在研究药物添加到ED自动化药物管理系统之前和之后药物医嘱开具频率的变化。研究药物最近已添加到我们的ED自动化药物管理系统中，但仍可从医院中心药房获取，且并非医院处方协议变更的对象。
四种药物制剂符合研究标准：莫西沙星注射液、莫西沙星片、阿奇霉素注射液和泮托拉唑注射液。添加到ED自动化药物管理系统后，所有药物的医嘱开具频率均大幅增加（分别为4.0倍、7.2倍、6.5倍和25.0倍）。医嘱频率的变化与从ED自动化药物管理系统而非医院中心药房取药的频率密切相关。
将药物制剂添加到现有的ED自动化药物管理系统中会增加其医嘱开具频率，尤其是当从该系统而非中心医院药房获取药物最为可靠时。将药物添加到ED自动化药物管理系统会影响医生的药物医嘱开具。
