在医院环境中实施持续患者监测系统:质量研究
Joint Commission journal on quality and patient safety
|December 15, 2023
概括
在医院实施无接触的持续监测系统 (CFCM) 改善了患者护理和工作人员满意度,因为它可以早期发现病情恶化. 最初对警报疲劳和信任的担忧在实施后减少了.
科学领域:
- 医疗信息学 医疗信息学
- 临床工程 临床工程
- 患者监测系统 患者监测系统
背景情况:
- 将技术整合到临床工作流程中,给护理提供和员工满意度带来了挑战.
- 无接触,持续监测系统 (CFCM) 通过早期检测恶化的情况,有可能改善患者的治疗结果.
研究的目的:
- 检查在住院环境中CFCM的实施连续性.
- 确定CFCM整合的实施前后障碍和促进者.
主要方法:
- 通过采访和过程观察收集定性数据.
- 实施后报警响应时间的定量分析.
- 数据来源的三角化,以进行可靠的分析.
主要成果:
- 实施前的障碍包括报警疲劳,准确性问题和工作流程中断.
- 利益相关者认识到CFCM在预防恶化和监测非遥测患者方面的价值.
- 实施后,警报疲劳问题减少,信任改善,但对二级用户的培训和患者体验仍然是挑战.
结论:
- 解决实施前的障碍和建立共享价值对于成功的技术集成至关重要.
- 定制教育,加强积极的变化,并优先考虑患者体验是未来数字工具实施的关键.
相关概念视频
Pulse rhythm
807
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
807
Nursing Clinical Information System
779
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.
Critical attributes of NCIS include:
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.
Critical attributes of NCIS include:
779
Errors occurring during blood pressure monitoring
733
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
733
Documentation in Long-Term and Home Healthcare Setting
893
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
893
Hospitals-II
784
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
784
Health Information Technology and Healthcare Information System
843
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
843


