在COVID-19大流行期间设计的医院氧气使用的自动审计
Ronan O'Driscoll1, Nawar Diar Bakerly2
1Respiratory Medicine, Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust, Salford, UK ronan.o'driscoll@nca.nhs.uk.
BMJ open respiratory research
|December 28, 2023
概括
使用电子医疗记录 (EMR) 自动化医院氧气审计提高了效率和准确性. 这种方法有效地监测了COVID-19大流行期间的氧气使用情况,并且可以应用于其他临床审计.
科学领域:
- 医疗信息学 医疗信息学
- 临床审计 临床审计
- 呼吸系统医学 呼吸系统医学
背景情况:
- 英国胸腔学会 (BTS) 对医院氧气使用的手动审计耗费大量资源,容易出现人为错误.
- 综合电子医疗记录 (EMR) 简化了氧气处方和床边观察,包括国家早期预警分数 (NEWS2).
研究的目的:
- 开发和实施一套针对医院氧气处方和使用的定制自动化审计系统.
- 通过利用现有的EMR数据,提高临床审计的效率和准确性.
主要方法:
- 一个医院的商业信息团队创建了一个与EMR集成的自动审计工具.
- 该系统提供了一份总结报告,其中包含交通灯颜色方案,以显示氧气和处方状态.
- 临床医生可以访问有关氧气和,设备和流量率的详细个体患者数据.
主要成果:
- 超过51次审计 (34,352次观察) 显示氧气使用率为6.0%,其中88.6%的人有有效的处方.
- 氧气使用在COVID-19大流行浪潮期间达到峰值 (10.4%在第1浪潮中,10.6%在第2浪潮中),之后恢复到基线.
- 该自动化系统证明了实时监测全医院氧气使用的可行性.
结论:
- 集成EMR系统中的自动化审计对于BTS氧气审计的基本方面是可行的.
- 这种自动化方法可以在个人和全医院层面有效监测氧气使用情况.
- 该方法适用于其他使用常规收集的EMR数据的临床审计,特别是在COVID-19流行病等公共卫生危机期间.
关键词:
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