通过在重症监护和中等护理中自动化记录来减少工作负载 - - 一个单一中心的观察性研究
A N Flinspach1, J M Leimgruber, V Neef
1Goethe University Frankfurt, University Hospital, Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, Germany. flinspach@med.uni-frankfurt.de.
European review for medical and pharmacological sciences
|April 19, 2024
概括
自动化医疗保健文档可以大大减少护士的工作量和相关成本. 这项研究量化了在重症监护和中等监护病房中手动药物记录的时间和财务负担.
科学领域:
- 医疗保健系统 医疗保健系统
- 护理信息学 在护理信息学.
- 卫生经济学 卫生经济学
背景情况:
- COVID-19 流行病加剧了全球卫生系统的压力,导致护士短缺和工作量增加.
- 手动记录药物给药和剂量变化是护士们耗时的工作.
研究的目的:
- 量化在重症监护和中等监护病房中与手动药物文档相关的时间和财务支出.
- 突出自动化文档系统在减轻护理工作量方面的潜在好处.
主要方法:
- 一个高等大学医院的患者数据管理系统 (PDMS) 被用来记录手动文档的时间.
- 从2019年1月到2022年12月的重症监护病房 (ICU) 和中等护理病房 (IMC) 的数据 (n=6) 进行了分析.
- 评估了分为五个类别的药物管理数据.
主要成果:
- 对32499名患者的超过137万次药物管理进行了分析.
- 手动文档每年消耗大约2,901个小时.
- 预计手工文档的年度财政支出为~83,300欧元 (~89,300美元).
结论:
- 手动文档代表了日常工作的很大一部分,增加了护理负担.
- 自动化文档系统提供了相当大的缓解,允许专注于患者护理和核心能力.
- 高效的员工利用对于未来的患者护理至关重要,使自动化成为关键解决方案.
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