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一个折扣的方法来减少护理警报负担
Sarah A Thompson1, Swaminathan Kandaswamy2, Evan Orenstein1,2
1Information Services and Technology, Children's Healthcare of Atlanta, Atlanta, Georgia, United States.
Applied clinical informatics
|June 14, 2024
概括
一个由护士信息学家领导的倡议显著减少了临床决策支持 (CDS) 警报负担的58%,降低了护士的工作量. 这种质量改善方法专注于大量的警报,为医疗保健专业人员节省了宝贵的时间.
科学领域:
- 医疗信息学 医疗信息学
- 临床决策支持系统 临床决策支持系统
- 提高医疗保健的质量 改善医疗保健的质量
背景情况:
- 临床决策支持 (CDS) 计划往往会造成警觉负担和疲劳.
- 现有的解决方案需要大量的资源,使得医院难以复制.
- 需要有效的策略来管理警觉疲劳.
研究的目的:
- 通过专注的质量改进方法,减少护理人员的警报负担.
- 用一名初级护士信息学家和一个小团队来针对大量警报.
- 展示一种有效的方法来管理CDS警报过载.
主要方法:
- 确定了大量的警报,占中断性警报的43%.
- 应用了CDS框架的五项权利来修改警报设计.
- 进行并发工作,现场可用性测试和利益相关者的批准.
主要成果:
- 减少了58%的总中断护理警报发射.
- 对警报采取行动的增加从8.1%增加到17.3%.
- 在整个系统范围内,预计解决警报的时间从197小时减少到114小时/月.
结论:
- 有效的CDS实施需要明确的评估和监测框架.
- 一个授权的护士信息学家可以领导有效的警报减轻负担的努力.
- 这种方法大大减少了护理人员的警报负担,而不会影响明显的好处.
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