No Implementation Without Representation: Real-Time Pharmacist Intervention Optimizes Rapid Diagnostic Tests for Bacteremia at a Small Community Hospital
| Autor: | Abby W. Hickman, Todd J. Vento, Robert Watteyne, Bert K. Lopansri, John J. Veillette, Brandon J. Tritle, Dave S. Collingridge |
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| Rok vydání: | 2021 |
| Předmět: |
Pharmacology
medicine.medical_specialty business.industry education Diagnostic test Pharmacy Telehealth equipment and supplies medicine.disease Community hospital Original Research Articles Bacteremia parasitic diseases medicine Antimicrobial stewardship Pharmacology (medical) business Intensive care medicine health care economics and organizations Pharmacist intervention |
| Zdroj: | Hosp Pharm |
| ISSN: | 1945-1253 0018-5787 |
| DOI: | 10.1177/00185787211037554 |
| Popis: | Background: Rapid diagnostic tests (RDTs) for bacteremia allow for early antimicrobial therapy modification based on organism and resistance gene identification. Studies suggest patient outcomes are optimized when infectious disease (ID)-trained antimicrobial stewardship personnel intervene on RDT results. However, data are limited regarding RDT implementation at small community hospitals, which often lack access to on-site ID clinicians. Methods: This study evaluated the impact of RDTs with and without real-time pharmacist intervention (RTPI) at a small community hospital with local pharmacist training and asynchronous support from a remote ID Telehealth pharmacist. Time to targeted therapy (TTT) in patients with bacteremia was compared retrospectively across 3 different time periods: a control without RDT, RDT-only, and RDT with RTPI. Results: Median TTT was significantly faster in both the RDT with RTPI and RDT-only groups compared with the control group (2 vs 25 vs 51 hours respectively; P |
| Databáze: | OpenAIRE |
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