在儿童医院的住院病房中,报警负担,源头和原因的变化
Nicholas A Clark1,2, Kathryn E Kyler1,2, Geoffrey L Allen1,2
1Children's Mercy Kansas City, Kansas City, Missouri.
Hospital pediatrics
|July 16, 2024
概括
医院的报警频繁,导致患者安全风险. 这项研究分析了警报负担,根据单位类型,来源和原因发现了显著的差异,突出了针对性减少策略的需要.
科学领域:
- 生物医学工程 生物医学工程
- 患者安全 患者安全
- 临床信息学 临床信息学
背景情况:
- 临床报警是必不可少的,但经常产生大量的声音,导致报警疲劳.
- 报警疲劳对医院环境中的患者安全构成重大风险.
- 了解报警负担对于制定有效的缓解策略至关重要.
研究的目的:
- 量化儿童医院一年的报警负担.
- 根据单位类型,报警源和特定原因分析报警率的变化.
- 确定针对性干预的警报频率的关键驱动因素.
主要方法:
- 从2019年1月1日到2019年12月31日的住院病患报警和患者普查数据的回顾性分析.
- 包括来自六个医疗/外科病房 (MSU),一个儿科重症监护室 (PICU) 和一个新生儿重症监护室 (NICU) 的数据.
- 计算每患者一天 (appd) 的报警率,并利用波桑回归进行比较分析.
主要成果:
- 总共有7,934,997个报警记录在84,077个患者日,平均94.4appd.
- 报警率因单位类型而异 (NICU: 117.5 appd,PICU: 90.7 appd,MSU: 81.3 appd).报警率因单位类型而异,报警率因单位类型而异.
- 脉冲氧计 (POx) 探针是最常见的警报来源,其中"低氧和"是主要原因,特别是在NICU和PICU设置中.
结论:
- 临床报警频率和特征在各医院单位,来源和原因之间存在很大差异.
- 减少报警负担的策略应考虑单位特定的报警率和流行报警源,如POx.
- 有针对性的干预措施是必要的,以减轻警报疲劳和提高患者安全.
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