Development of a notification system for intravenous-to-oral antibiotic switch therapy in pediatric wards using Value Stream Mapping (TJPS-2021-0385.R2)

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.

Keywords: Antibiotic, notification system, pediatric ward (value stream mapping), switch therapy