支架在哪里 支架在哪里 一个计算机化的追踪系统来消除被遗忘的尿道支架
Spencer Larkin1, David Preston1
1University of Kentucky College of Medicine and Veterans Affairs Medical Center (DP), Lexington, Kentucky.
Urology practice
|August 10, 2023
概括
一个电子表格系统有效地跟踪了尿路支架的放置和移除,实现了100%的取回率. 这种方法通过防止被遗忘的尿路支架提高了患者的安全性,尽管建议未来的自动化系统.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗信息学 医疗信息学
背景情况:
- 尿道支架的放置对于尿道阻塞至关重要.
- 被遗忘的尿路支架对患者和医生构成重大风险.
- 有效的追踪系统是必要的,以便及时移除尿路支架.
研究的目的:
- 评估电子电子表格跟踪系统对尿路支架管理的有效性.
- 评估系统监测尿路支架安置和取回的能力.
- 为了确定在定义的时间范围内尿路支架取回率.
主要方法:
- 从2012年1月到2014年2月,使用Excel®电子表格实现了基于计算机的监控系统.
- 追踪尿路支架插入和取出,通过VA计算机化患者记录系统确认检索.
- 包括一个自动计算器来提醒工作人员关于在位超过180天的支架.
主要成果:
- 在研究期间,共有379个尿路支架被放置在335名患者身上.
- 97.36% (369/379) 的支架在180天内被移除或更换.
- 100%的支架被占据,10名患者死于支架 in situ,被认为是取回组.
结论:
- 一个电子电子表格系统是有效的跟踪尿路支架放置和移除.
- 手动输入数据和认真监控有助于100%的检索率.
- 未来的进步应该优先考虑自动提醒系统,以减少对手动跟踪的依赖.
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