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Publication
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Title of Article |
Development of a notification system for intravenous-to-oral antibiotic switch therapy in pediatric wards using Value Stream Mapping. |
Date of Acceptance |
14 April 2022 |
Journal |
Title of Journal |
Thai Journal of Pharmaceutical Sciences |
Standard |
TCI |
Institute of Journal |
Faculty of Pharmaceutical Sciences, Chulalongkorn University |
ISBN/ISSN |
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Volume |
2022 |
Issue |
Vol 46, No 3 |
Month |
June |
Year of Publication |
2022 |
Page |
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Abstract |
Objective: This research developed a notification intravenous-to-oral antibiotic switch therapy system using value stream mapping (VSM) through the Plan-Do-Study-Act (PDSA) method.
Materials and Methods: The action research took place in two target groups: Group 1 included a multidisciplinary team, and Group 2 included pneumonia patients admitted to two pediatric wards. The system had two phases. In phase I, we conducted situation analysis of the medical records for 400 patients. In phase II, we developed a system that used PDSA as follows: Plan: We analyzed the methods. Do: The demonstrated process used VSM. Study: We designed a notification system. Act: We compared each step used VSM. The system was evaluated by time measurement, the rate of switching intravenous to oral, length of intravenous therapy, and length of stay display using descriptive statistics.
Results: We developed an integrated information system and electronic trigger tool to identify cases eligible for switch therapy that showed an increase in the activity ratio and reduced the total lead time from 175 to 159 minutes. We also reduced the length of intravenous therapy and length of stay.
Conclusions: Notification systems rapidly screen patients and reduce the time-consuming process. This notification system can apply to hospitals using electronic health records and suggested in the form of policies. |
Keyword |
switch therapy, antibiotic, Pediatric ward (value stream mapping), notification system |
Author |
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Reviewing Status |
ไม่มีผู้ประเมินอิสระ |
Status |
ได้รับการตอบรับให้ตีพิมพ์ |
Level of Publication |
นานาชาติ |
citation |
false |
Part of thesis |
true |
ใช้สำหรับสำเร็จการศึกษา |
ไม่เป็น |
Attach file |
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Citation |
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