Development of the SDRx A multidisciplinary task group, composed of nurses from the medical unit and the intensive care unit, an internal medicine physician, and a pharmacist, was created to identify a method of improving the documentation of medication information. The team evaluated discharge forms from other institutions, developed a draft form and process, and [...]
INTRODUCTION In April 2005, Leamington District Memorial Hospital announced the hospitalwide implementation of a seamless discharge prescription (SDRx) form. Developed over 2 years of research and supported by the results of a successful pilot project, the SDRx form is a paper-based tool for the documentation of medications at the time of admission to and discharge [...]
The higher rate of appropriate initial antibiotic therapy (i.e., consistent with guidelines) among patients with a preprinted order in their record suggests that the preprinted order can help physicians in their selection of empiric antibiotics. Possible reasons for the increase in appropriate prescribing for patients without a preprinted order, relative to the historical controls, include [...]
эThe present study suggests that, since the introduction of a preprinted order, management of community-acquired pneumonia in this community acute care hospital has become more consistent with guidelines in several respects. The use of historical controls for comparison has limitations, as there may have been other changes in practice over the 2-year period between data [...]
A total of 242 medical records were identified for review. Of these, 103 patients met the inclusion criteria. Of the 139 excluded patients, 50 (36%) did not meet the criteria for pneumonia, 26 (19%) were younger than 18 years of age, 19 (14%) had been transferred from another health care institution, and 44 (32%) were [...]
The medical records of patients admitted between January 1 and December 31, 2002, with a primary diagnosis of community-acquired pneumonia (using case mix group code 143 for simple pneumonia and pleurisy) were reviewed. For patients included in the study, community-acquired pneumonia was defined as presence of new or progressive pulmonary infiltrates, as demonstrated by chest [...]
INTRODUCTION In recognition of the significant morbidity and mortality caused by community-acquired pneumonia, various organizations have developed management guidelines to encourage efficient treatment of this disease. The most recent guidelines were published jointly by the Infectious Diseases Society of America (IDSA) and the American Thoracic Society (ATS) in 2007. Similar to previously published guidelines, the [...]
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