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Titolo:
Computerized monitoring of valproate and physician responsiveness to laboratory studies as a quality indicator
Autore:
Luchins, DJ; Klass, D; Hanrahan, P; Qayyum, M; Malan, R; Raskin-Davis, V; Fichtner, CG;
Indirizzi:
Univ Chicago, Dept Psychiat, Chicago, IL 60637 USA Univ Chicago Chicago IL USA 60637 o, Dept Psychiat, Chicago, IL 60637 USA Illinois Dept Human Serv, Off Mental Hlth, Chicago, IL USA Illinois Dept Human Serv Chicago IL USA Off Mental Hlth, Chicago, IL USA Finch Univ Hlth Sci Chicago Med Sch, Dept Psychiat & Behav Sci, N Chicago,IL 60064 USA Finch Univ Hlth Sci Chicago Med Sch N Chicago IL USA 60064 o,IL 60064 USA
Titolo Testata:
PSYCHIATRIC SERVICES
fascicolo: 9, volume: 51, anno: 2000,
pagine: 1179 - 1181
SICI:
1075-2730(200009)51:9<1179:CMOVAP>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
MANAGEMENT; SERVICES; SYSTEM;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
10
Recensione:
Indirizzi per estratti:
Indirizzo: Luchins, DJ Univ Chicago, Dept Psychiat, MC3077,5841 S Maryland Ave, Chicago, IL 60637USA Univ Chicago MC3077,5841 S Maryland Ave Chicago IL USA 60637 A
Citazione:
D.J. Luchins et al., "Computerized monitoring of valproate and physician responsiveness to laboratory studies as a quality indicator", PSYCH SERV, 51(9), 2000, pp. 1179-1181

Abstract

Using computerized pharmacy, laboratory, and hospitalization data from a large state psychiatric hospital system, this study examined physician responses to laboratory studies obtained in the course of therapeutic drug monitoring. Computerized monitoring modules based on physician-developed guidelines identified out-of-range laboratory values and searched for appropriate corresponding physician responses within clinically driven, mathematically adjusted time frames. Valproate monitoring in four metropolitan hospitals showed that appropriate physician responses were associated with shorter hospital stays for patients and were predictive of length of stay in a multiple regression analysis (p<.001). After physicians received didactic feedback, the percentage of appropriate responses to low serum valproate level increased.

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Documento generato il 23/09/20 alle ore 15:21:30