Effects of staff education and standardizing dosing and collection times on vancomycin trough appropriateness in ward patients
| Autor: | Drayton A. Hammond, Taylor B. James, Jacob T. Painter, Katherine Lusardi, Lexis N. Atkinson |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Pharmaceutical Science lcsh:RS1-441 Pharmacy Staff education Trough (economics) mesh:Drug Monitoring Pharmacists 030226 pharmacology & pharmacy mesh:Quality Improvement lcsh:Pharmacy and materia medica Dose-Response Relationship 03 medical and health sciences Plasma 0302 clinical medicine mesh:Dose-Response Relationship Vancomycin Internal medicine medicine Pharmacokinetics 030212 general & internal medicine Dosing mesh:Pharmacists mesh:Retrospective Studies Morning Original Research Retrospective Studies mesh:Drug business.industry Maintenance dose Significant difference lcsh:RM1-950 Retrospective cohort study mesh:Vancomycin Dose-Response Relationship Drug Quality Improvement mesh:Pharmacokinetics United States Surgery mesh:Plasma lcsh:Therapeutics. Pharmacology mesh:United States Drug Monitoring Drug business medicine.drug |
| Zdroj: | Pharmacy Practice (Granada), Volume: 15, Issue: 2, Article number: 949, Published: JUN 2017 Pharmacy Practice (Granada) v.15 n.2 2017 SciELO España. Revistas Científicas Españolas de Ciencias de la Salud instname Pharmacy Practice, Vol 15, Iss 2, Pp 949-949 (2017) Pharmacy Practice |
| Popis: | Background: Many institutions have guidelines for initiation and monitoring, but not timing, of vancomycin. Objective: Our objective was to evaluate vancomycin trough collection appropriateness before and after an initiative to change the dosing and trough collection times in ward patients. Methods: A retrospective cohort study of ward patients from May 2014-16 who received scheduled intravenous vancomycin was performed. Nurse managers and pharmacists provided staff education. Differences between pre- and post-intervention groups were compared using student’s t-test for continuous data and chi-square test for categorical data. Results: Baseline characteristics were similar between the pre-intervention (n=124) and post-intervention (n=122) groups except for weight-based maintenance dose (15.3 mg/kg vs. 16.5 mg/kg, p=0.03) and percentage of troughs collected with morning labs (14% vs. 87%, p |
| Databáze: | OpenAIRE |
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