利用数据和报警冠军来提高报警管理:一个儿科质量改善倡议
Joellan Mullen1, Sulimon Sattari, Melissa Rauch
1Author Affiliations: Medical Informatics Corp, Houston, Texas (Mullen and Sattari); Texas Children's Hospital, Houston, Texas (Rauch and Acorda); Section of Critical Care, Department of Pediatrics, Baylor College of Medicine, Houston, Texas (Stein and Roy); and University of Texas Health Science Center- Cizik School of Nursing, Houston, Texas (Acorda).
减少频繁的医疗器械报警对于患者安全至关重要. 这项研究成功地通过量身定制的报警设置和技术,将每日报警量减少了45%,报警时间减少了62%.
科学领域:
- 医疗保健技术 技术 医疗保健 技术
- 患者安全 患者安全
- 临床信息学 临床信息学
背景情况:
- 医疗设备的麻烦和错误报警可能会分散临床医生的注意力,可能会危及患者的安全.
- 儿科渐进式护理单位的报警率很高,每天有180-250个报警,或者每位临床医生每3-4分钟就有一次报警.
研究的目的:
- 为了减少每日警报的高数量和儿童渐进性护理单位内的警报状态的百分比时间.
- 提高医疗器械报警的临床相关性和可操作性.
主要方法:
- 利用计划-做-研究-行动周期来实施环境,政策和技术变化.
- 使用嵌入式患者监控系统功能,根据个别患者的需求定制警报设置.
- 监控报警数据,并通过专门的报警冠军的支持实施变更.
主要成果:
- 实现了每天每张床平均报警次数减少45.45%,在10年内从177.69降至96.94.
- 将警报时间的百分比减少了62.37%,从7.52%降至2.83%.
- 警报频率和持续时间显著下降.
结论:
- 实施分析实时临床数据的技术,使临床医生能够有效地管理警报.
- 量身定制的报警管理策略可以减少错误报警,提高患者安全,而不影响护理.
- 优化的报警系统可提高临床工作流程,减少报警疲劳.
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