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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  
     Volume 2022 
     Issue Vol 46, No 3 
     Month June
     Year of Publication 2022 
     Page  
     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
615150032-1 Mrs. NISSARA SRISURA [Main Author]
Pharmaceutical Sciences Master's Degree

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