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Nursing Clinical Information System01:27

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Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
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使用临床决策支持系统减少静脉注射乙氨基的使用:实施和经验教训

Gabriel Tse1, Claudia Algaze2, Natalie Pageler3

  • 1Department of Pediatrics, Division of Pediatric Hospital Medicine, Stanford University School of Medicine, Stanford, California, United States.

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概括
此摘要是机器生成的。

在儿科医院使用IV乙氨基的中断性临床决策支持系统 (CDSS) 没有成功. 该系统没有改变使用方式,并且由于供应商接受度低和效率问题,对患者护理产生了负面影响.

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科学领域:

  • 医疗保健信息学 医疗保健信息学
  • 改善临床质量 改善临床质量
  • 儿科医院医药 儿科医院医药

背景情况:

  • 临床决策支持系统 (CDSS) 为医疗决策提供了潜在的好处,但也可能导致意外的伤害.
  • 它们的有效性并不普遍,需要仔细实施和评估.

研究的目的:

  • 描述了一项不成功的中断性CDSS的实施,旨在优化儿科医院内静脉注射 (IV) 乙氨基的使用.
  • 确定从这一实施中吸取的经验教训,重点关注最终用户的接受性和对护理的影响.

主要方法:

  • 采用了质量改进方法,实施了具有24小时到期的中断性CDSS,用于IV乙氨基订单.
  • 主要结局测量了每1000名患者日内IV乙氨基给药量.实施前和后.
  • 过程和平衡措施包括订单率,提供者/护士的接受度,以及通过调查产生的意外后果.

主要成果:

  • 在实施后或在去除CDSS后,没有观察到全医院IV乙氨基给药或订单的显著变化.
  • 近一半的88名调查受访者报告了对患者护理的负面影响,理由是延迟和效率下降.
  • 最终用户接受度低是CDSS缺乏成功的一个关键因素.

结论:

  • 监测CDSS的实施和结合最终用户的接受度是成功的关键.
  • 团队必须准备好适应或删除未能达到目标或用户接受度低的CDSS.
  • 仔细实施和持续评估对于最大限度地提高CDSS的好处,并最大限度地减少临床实践中的危害至关重要.