导航警报疲劳:电子健康记录警报设计优化的案例研究
1SickKids, Toronto, Ontario.
Studies in health technology and informatics
|July 25, 2024
概括
在电子健康记录 (EHR) 中重新设计临床决策支持 (CDS) 警报显著减少了护理警报疲劳. 这项质量改进项目优化了警报的相关性,节省了临床医生的宝贵时间.
科学领域:
- 医疗保健信息学 医疗保健信息学
- 改善临床质量 改善临床质量
- 人与计算机的交互
背景情况:
- 临床决策支持 (CDS) 系统对于患者护理至关重要,但往往由于设计不佳而受到影响.
- 不适当的CDS设计导致警报疲劳,临床医生被无关或破坏性警报所淹没,影响效率和患者安全.
研究的目的:
- 通过质量改进 (QI) 项目,解决电子健康记录 (EHR) 中的护理警报疲劳问题.
- 战略性地重新设计高发射,低作用警报,以提高临床相关性和减少临床医生的负担.
主要方法:
- 采用混合方法方法,将定量分析与定性数据相结合.
- 与护士进行虚拟同情心映射会,以了解用户的体验.
- 用户反和CDS设计原则为警报重新设计过程提供了信息.
主要成果:
- 所有四个发现的破坏性,高发射的护理警报都被删除或重新设计.
- 这一举措使得之前在无法采取行动的警报上花费的877个护理小时得到回收.
- 被动警报也经过重新设计,以提高其实用性.
结论:
- 对CDS警报的战略重新设计对于减轻医疗保健机构的警报疲劳至关重要.
- 有效的警报管理需要专注于临床相关性和以用户为中心的设计.
- 持续的组织治理对于持续的医疗保健系统优化和警报管理至关重要.
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