减少不一致的警报通知:在麻醉后护理单位的实用临床试验
Saullo Queiroz Silveira1, Rafael Sousa Fava Nersessian1, Arthur de Campos Vieira Abib1
1Hospital São Luiz Unidade Itaim, Rede D'Or - Equipe de Anestesia CMA, Departamento de Anestesiologia, São Paulo, SP, Brazil.
Brazilian journal of anesthesiology (Elsevier)
|August 10, 2023
概括
一个关于定制床边监视器报警设置的教育计划显著减少了麻醉后护理单位 (PACU) 的不一致报警. 这种干预减少了虚假报警和被忽视的警报,提高了患者的安全.
科学领域:
- 医疗器械 医疗器械
- 临床报警器 临床报警器
- 患者安全 患者安全
背景情况:
- 医疗保健报警对于监测患者状况至关重要.
- 报警疲劳是由过度和多样化的报警引起的,可能导致报警被忽视.
- 这项研究调查了一个教育计划,以解决警报疲劳在麻醉后护理单位 (PACU).
研究的目的:
- 为了确定是否教育工作人员定制床边监视器报警设置,可以减少PACU中不一致的报警.
- 评估教育干预对报警管理的影响.
主要方法:
- 进行了一项前性,单臂定量研究.
- 对心率,血压和氧和的警报一致性在教育计划之前 (P1) 和之后 (P2) 进行了评估.
- 从260名患者收集了数据.
主要成果:
- 不一致的 (虚假) 报警率从P1的45.2%下降到P2.4的9.4%.
- 教育计划是对不一致的警报 (OR = 0.11) 的重要保护因素.
- 在干预后,忽视的持续警报从21.5%降至2.6%.
结论:
- 在PACU入口时自定义报警设置是防止不一致的报警通知的保护因素.
- 教育干预可以有效地减轻警报疲劳,并改善临床警报管理.
- 优化报警设置可以通过减少被忽视或错误报警来提高患者的安全.
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