Validation of FASTHUG-MAIDENS
Validation of FASTHUG-MAIDENS
Validation of FASTHUG-MAIDENS
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<strong>FASTHUG</strong> Vincent J-‐L.Crit Care 2005; 33(6):1225-‐30.
Methodology
Results DRP capture <strong>FASTHUG</strong>-‐ <strong>MAIDENS</strong> (N=2; 9 patient encounters)Non-‐<strong>FASTHUG</strong>-‐ <strong>MAIDENS</strong> (N=3; 45 patient encounters)p value * 43/61 (70.5%) 119/227 (52.4%) 0.012 * using Chi square test
Discussion • <strong>FASTHUG</strong>-‐<strong>MAIDENS</strong> adds important DRPs to Hepler-‐Strand classiaication – Medication reconciliation – Antimicrobial stewardship à cost savings? • Tailoring Abx therapy; IVà PO step down; stop dates • Useful tool for: – Pharmacists covering ICU – Training purposes – Quick checklist during rounds for ICU clinicians
• Sample size not met – Type I error? Limitations • Difference in baseline event rates – 90% vs 70% capture rate • Confounding variables – Differing levels <strong>of</strong> patient acuity – Inter-‐preceptor/inter-‐resident variability • Time requirement for study paperwork
Conclusion • <strong>FASTHUG</strong>-‐<strong>MAIDENS</strong> may be effective for promoting increased DRP capture rate when used in the ICU
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