Infection as Complication of Medical Care
Conditions
Keywords
Early reassessment of intravenous antiinfective therapy
Brief summary
Switching from intravenous application of antiinfective agents to oral therapy is often performed late including high costs and risk of complications. This study will investigate the impact of displayed reminders in the electronic patient chart after 60h of intravenous therapy with an antiinfective agent.
Detailed description
Switching from intravenous application of antiinfective agents to oral therapy is often performed late including high costs, risk of complications as well as higher workload on nursing. This study will investigate the impact of displayed reminders in the electronic patient chart after 60h of intravenous therapy with an antiinfective agent.
Interventions
Behavioral: Early switching from intravenous to oral antiinfective agents due to electronic reminders
Sponsors
Study design
Eligibility
Inclusion criteria
* all in-patients in treatment with an intravenous antiinfective for \>60h, * hospitalized in a ward with computerized physician order entry (cpoe)
Exclusion criteria
* outpatients, * ward without cpoe, * no intravenous antiinfective treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| duration of intravenous antiinfective therapy until switching | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| costs (per year, per day and patient) | 1 year |
| defined daily doses (per 100 days) | 1 year |
| duration of hospitalization | 1 year |
| ratio of narrow to broad-spectrum antibiotics | 1 year |
| requests for consultations | 1 year |
Countries
Switzerland