SLIDE 27 Empowering Patients: The Present and Possible Future of Outpatient Parenteral Antibiotic Therapy in Singapore’s Hospitals Evaluating the Effectiveness of Outpatient Parenteral Antimicrobial Therapy in Singapore with a Case Study at Khoo Teck Puat Hospital
Problem Statement
The problem is that there is a lack of recent assessments on the effectiveness of the OPAT program (Outpatient Parenteral Antibiotic Treatment) in Singapore. Despite OPAT being a program that directly impacts patients and their recovery process, there are few reviews that comprehensively assess OPAT programs in Singaporean hospitals. If there are problems within this system, patients in the program will be negatively impacted as they might end up being readmitted rather than being cured of their infection, and may not have a positive treatment
- experience. The main causes of this problem could be the lack of in- depth knowledge about this
program itself, lack of interhospital collaboration and communication, and also the OPAT program being relatively young in Singapore. Perhaps a case study of Khoo Teck Puat Hospital’s OPAT program that looks into medication history, readmission rates, and other clinical data and takes patient interviews could provide a comprehensive review and some feedback for the programs that exist and are going to be created.
Definitions
OPAT - stands for Outpatient Parenteral Antibiotic Treatment, and is a form of treatment outside the hospital that allows patients who got discharged from the hospital after having an infection to be treated from home, or to come in once a day to take their antibiotics and other medication at the clinic. Patient readmissions - when the OPAT treatment was unsuccessful and patients are readmitted to the hospital. Self medication- when patients are able to administer their medication at home by themselves and do not need to come to the hospital. Parenteral: dosage forms as an injection or infusion. Common injection types are intravenous (into a vein), subcutaneous (under the skin), and intramuscular (into muscle). Infusions typically are given by intravenous route. Antibiotics- an umbrella term for medication that treats conditions caused by bacterial infections. Medical protocols - certain rules and regulations that must be followed within a healthcare system, and in this case, the OPAT program. Intravenous Therapy - the infusion of medication/ other liquid substances directly into a vein.
Assumptions and Hypothesis
The main assumption in this report is that OPAT is not a very popular program in Singapore, and that many hospitals are still not using this system
- n a large scale. This is especially true
since even at KTPH, there are only 20- 30 patients in the program each month. The other assumption is that OPAT is in its infancy in most Singaporean hospitals, and has yet to adopt more protocols within OPAT as well.
Significance
This study will not only be assessing the quality
- f the OPAT programs to provide general
feedback for Singapore hospitals in comparison to more established OPAT programs, but will also be taking into consideration the exact demands and feedback of patients to provide a more holistic analysis of their current program and the improvements that can be made. With this sort of information, the hospitals will be able to better serve their patients, especially since their opinions and experiences are taken into account.
Methods of Inquiry
There are two main methods of inquiry in this case study: analysis of clinical data (which includes the medical history, condition, current medication, test results, days in the program etc.) and patient interviews/surveys which provide a more qualitative assessment of satisfaction with the OPAT program. This data will then be analyzed for patterns among certain conditions or demographics.
Sources
Fisher, D. A., A. K., Lye, D., Tambyah, P. A., Sulaiman, Z., Poon, E. H., . . . Lim, P. L. (2006). Outpatient Parenteral Antibiotic Therapy in Singapore. International Journal of Antimicrobial Agents, 28, 545-
- 550. Retrieved September 27, 2015, from http://www.researchgate.
net/publication/6699328_Outpatient_parenteral_antibiotic_therapy_in_Singapore Eaves, K., Thornton, J., & Chapman, A. L. (2013). Patient retention of training in self-administration of intravenous antibiotic therapy in an outpatient parenteral antibiotic therapy service. Journal of Clinical Nursing, 23, 1318-1322. doi:10.1111/jocn.12376 Allison, G. M., Muldoon, E. G., Kent, D. M., Paulus, J. K., Ruthazer, R., Ren, A., & Snydman, D. R. (2014). Prediction Model For 30-Day Hospital Readmissions Among Patients Discharged Receiving Outpatient Parenteral Antibiotic Therapy. Clinical Infectious Diseases, 58(6), 812-819. Retrieved September 27, 2015, from http://content.ebscohost.com/ContentServer.asp? T=P&P=AN&K=94799033&S=R&D=a9h&EbscoContent=dGJyMNHX8kSeqLQ40dvuOLCmr02eqLBSsaa4SLO WxWXS&ContentCustomer=dGJyMPGrsE+1rLFJudfue9/m8Yzt5ONT497ti/IA Chapman, Ann L. N. "Outpatient Parenteral AntiMicrobial Therapy in a Changing NHS: Challenges and Opportunities." Clinical Medicine 13.1 (2013): 35-36. Web. 27 Sept. 2015. <http://content.ebscohost. com/ContentServer.asp? T=P&P=AN&K=85270206&S=R&D=a9h&EbscoContent=dGJyMNHX8kSeqLQ40dvuOLCmr02eqLBSsae4S7G WxWXS&ContentCustomer=dGJyMPGrsE+1rLFJudfue9/m8Yzt5ONT497ti/IA>.
Shivani Rao Block: A4