关于desats的统计数据:报警疲劳以及对患者安全的影响
Hannah R Anderson1, Alex C Borgen1, Rebecca Christnacht1
1Physician Assistant Program, Mayo Clinic, Rochester, Minnesota, USA.
BMJ open quality
|July 20, 2023
概括
简单的干预措施,如教育和标牌,显著减少了生理监测报警,减少了患者和工作人员的报警疲劳. 这个质量改进项目为医疗保健机构提供了实际的解决方案.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 临床工程 临床工程 临床工程
背景情况:
- 生理监测系统会产生警报,但频繁的非紧急警报会导致警报疲劳.
- 警报疲劳对患者和医疗保健工作人员产生负面影响,联合委员会针对相关死亡事故.
- 没有确定的指导方针来管理警报疲劳,需要有针对性的干预措施.
研究的目的:
- 通过减少虚假报警,解决梅奥诊所的报警疲劳问题.
- 为了提高患者的安全性和减少工作人员的倦怠.
- 提高氧气和监测的灵敏度,以便及时检测紧急情况.
主要方法:
- 在两个月内进行了一项质量改进项目,收集了干预前的数据.
- 目标是将总警报值从55%-85%降低到35%-75%.
- 干预措施包括评估监测需求的协议以及为工作人员和患者提供教育标志.
主要成果:
- 基线报警的平均值为158.6个红色报警,37.8个手动休眠和120.7个自动解决.
- 在干预后,红色报警降至125.5,手动休眠降至17.8,在第一阶段,自动解决降至107.8.
- 在所有干预措施中,观察到平均16.92%的警报减少 (p=0.25).
结论:
- 教育和沟通等简单的干预措施有效地减少了警报负担.
- 这些方法在医疗保健环境中是实用的和有效的,以减轻警报疲劳.
- 该研究强调了警报管理对患者安全和工作人员福祉的重要性.
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