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| 題 名 | 抗藥性挑戰下的智慧應對:林口長庚醫院抗生素管理實務策略與行動=Smart Strategies to Combat Antimicrobial Resistance: Practical Approaches to Antibiotic Stewardship at Linkou Chang Gung Memorial Hospital |
|---|---|
| 作 者 | 陳玉瑩; | 書刊名 | 醫療品質雜誌 |
| 卷 期 | 19:4 2025.07[民114.07] |
| 頁 次 | 頁18-23 |
| 專 輯 | 對抗抗生素抗藥性:全球趨勢與在地實踐 |
| 分類號 | 418.281 |
| 關鍵詞 | 抗生素管理; 臨床決策支援系統; 抗生素抗藥性; 人工智慧應用; 醫療品質; Antibiotic stewardship; Clinical decision support system; Antimicrobial resistance; Artificial intelligence; Quality of healthcare; |
| 語 文 | 中文(Chinese) |
| DOI | 10.53106/279013352025071904003 |
| 中文摘要 | 面對全球抗生素耐藥性日益嚴峻的挑戰,林口長庚紀念醫院透過資訊化策略與跨部門合作,建構以病人為中心的抗生素管理體系。本文詳述本院導入抗生素線上審核系統(HCAAS)、臨床決策支援系統(CDSS)、抗菌譜平台與BI智慧儀表板等措施,結合藥師審方與臨床介入,有效提升抗生素使用安全與療效。以菌血症預警系統為例,實施後顯著縮短適當用藥時間,並降低死亡率與住院天數。未來將導入AI預測模型強化個案決策,並推動制度永續與全國資料串接。此為臺灣醫療體系中抗藥性管理智慧轉型的實證案例。 |
| 英文摘要 | In response to the global challenge of antimicrobial resistance, Linkou Chang Gung Memorial Hospital has developed a patient-centered antibiotic stewardship framework that leverages digital integration and interprofessional collaboration. This article outlines the implementation of key systems, including computerized antimicrobial approval system (CAAS), a clinical decision support system (CDSS), antibiogram integration, and business intelligence dashboards. Pharmacist-led interventions and real-time alerts enabled improvements in antibiotic safety and efficacy. For example, the bacteremia alert system reduced the time to appropriate therapy, reduced mortality, and shortened intensive care unit stay. Future initiatives will focus on artificial intelligence-based predictive models to strengthen individual case decisions, and nationwide data integration to ensure long-term sustainability. This model represents a practical and intelligent approach to managing antimicrobial resistance within Taiwan's healthcare system. |
本系統中英文摘要資訊取自各篇刊載內容。