The Thai Journal of Pharmaceutical Sciences
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, Situation analysis reviewed 400 medical records and In Phase II, a system was developed that used PDSA as follows: Plan: analysis of the methods. Do: The demonstrated process used VSM. Study: A system designed. Act: Comparing 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: Development of notification system by 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 min, reduced the length of intravenous therapy and length of stay. Conclusions: Notification systems rapidly screen patients and reduce the time process and can apply to hospitals using electronic health records and suggested in the form of policies.
Publisher
Faculty of Pharmaceutical Sciences, Chulalongkorn University
First Page
316
Last Page
323
Recommended Citation
Srisura, Nissara; Kessomboon, Nusaraporn; Leechaipichikul, Ancharee; and Khummuang, Thawatchai
(2022)
"Development of a notification system for intravenous-to-oral antibiotic switch therapy in pediatric wards using value stream mapping,"
The Thai Journal of Pharmaceutical Sciences: Vol. 46:
Iss.
3, Article 10.
Available at:
https://digital.car.chula.ac.th/tjps/vol46/iss3/10