技术干预,以改善急性护理遥测单元的报警管理
Biomedical instrumentation & technology
|June 21, 2023
概括
过度的遥测报警可以导致报警疲劳. 技术干预减少了警报持续时间,但增加了警报频率,这表明需要进一步研究优化患者监控系统.
科学领域:
- 医疗器械 医疗器械
- 患者安全 患者安全
- 护理信息学 护理信息学
背景情况:
- 持续的遥测监测对于患者安全至关重要.
- 过度的监控报警会导致报警疲劳,可能导致响应延迟.
- 患者异常值产生不成比例的警报数量,加剧了这个问题.
研究的目的:
- 评估一项旨在减少过度遥测报警的技术干预措施.
- 评估实时通知对注册护士 (RN) 报警管理实践的影响.
主要方法:
- 一个大型学术医疗中心实施了技术警报系统.
- 当患者的警报超过定义的值 (400%高于该单位的7天平均值) 时,注册护士会收到手机通知.
- 在四个急性护理遥测单位中,分析了干预前后的警报数据.
主要成果:
- 观察到平均警报持续时间的统计显著减少 (P < 0.001),减少了8.07秒.
- 然而,干预后警报频率显著增加 (χ2(3) = 34.83,P < 0.001).
结论:
- 通知RNs调整报警参数的技术干预可能会减少报警时间.
- 需要进一步的研究来了解警报频率的增加及其影响.
- 结果表明,RN遥测管理和报警疲劳意识的潜在改进,需要进一步调查.
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