一个移动的麻醉后护理单元订单提醒系统改善了及时订单的进入.
Jacob C Clifton1, Holly B Ende2, Chandramouli Rathnam2
1Department of Anesthesiology, VAPIR Division, Vanderbilt University Medical Center, Nashville, TN, USA. Jacob.c.clifton@vumc.org.
Journal of medical systems
|June 10, 2024
概括
自动化麻醉后护理单元 (PACU) 订单提醒显著改善了麻醉提供者的及时订单,减少了延迟和改善了患者的结果. 这项技术提高了PACU环境中的效率.
科学领域:
- 麻醉学 麻醉学
- 医疗信息学 医疗信息学
- 患者安全 患者安全
背景情况:
- 在麻醉后护理单位 (PACU) 及时下订单对于患者的护理至关重要.
- 与计算机化订单集成的自动提醒系统提供了潜在的好处,但需要进一步评估.
研究的目的:
- 评估自动化PACU订单提醒对麻醉提供商订单的及时性的影响.
- 调查迟到订单和PACU结果之间的关联.
主要方法:
- 从2019年1月1日到2023年5月31日进行了一项单一中心的回顾性队列研究.
- 包括手术后订单的患者,但不包括直接转移到ICU的患者和参与系统试点测试的患者.
- 使用后勤回归和生存分析来评估提醒系统使用与订单的及时性之间的关联,控制患者,程序和提供者变量.
主要成果:
- 自动提醒将在PACU入场前订单的概率提高了51% (OR:1.51;p ≤0.001).
- 迟到的PACU订单的发生率从17.5%降至12.6% (p ≤ 0.001).
- 对于迟到的订单,提醒与10%更快的放置有关 (HR: 1.10; p < 0.001).
- 按时订单与减少PACU持续时间,降低峰值疼痛得分以及减少对抗药物的需求相关.
结论:
- 自动订单提醒系统有效地促进了在PACU到达之前及时下单.
- 这些系统的实施可以减少订单的延迟,并积极影响关键的PACU结果.
- 这项技术代表了提高PACU效率和患者护理的宝贵工具.
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