一项教育计划对一家教学医院庆大霉素使用情况的影响。
The impact of an educational program on gentamicin use in a teaching hospital.
作者信息
Johnson M W, Mitch W E, Heller A H, Spector R
出版信息
Am J Med. 1982 Jul;73(1):9-14. doi: 10.1016/0002-9343(82)90912-3.
We evaluated the effectiveness of a structured educational program in improving the gentamicin prescribing pattern of physicians in the hospital. Predetermined criteria for acceptable use were based upon the specific indications for initiating the drug therapy, the dosage regimen, and the precautions taken to avoid toxicity. In the preeducation review period, 57 of 109 courses of gentamicin (52 percent) were found acceptable. Following the educational program, 93 of 120 courses (78 percent; p less than 0.001) were acceptable; indications for gentamicin use that were found unacceptable decreased from 11 percent to 5 percent (p less than 0.005) and the incidence of excessive doses declined from 21 to 7 percent (p less than 0.005). We conclude that a structured educational program may improve the prescribing pattern of physicians.
我们评估了一项结构化教育计划在改善医院内科医生庆大霉素处方模式方面的有效性。可接受使用的预定标准基于开始药物治疗的具体适应症、给药方案以及为避免毒性所采取的预防措施。在教育前的审查期间，109个庆大霉素疗程中有57个（52%）被认为是可接受的。在教育计划实施后，120个疗程中有93个（78%；p<0.001）是可接受的；庆大霉素使用中被认为不可接受的适应症从11%降至5%（p<0.005），过量用药的发生率从21%降至7%（p<0.005）。我们得出结论，结构化教育计划可能会改善医生的处方模式。
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