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在养老院药物管理期间的多任务处理:一个时间运动研究
Yu Jin Kang1, Christine A Mueller2, Joseph E Gaugler3
1School of Nursing, Byrdine F. Lewis College of Nursing and Health Professions, Georgia State University, Atlanta, Georgia, United States.
Applied clinical informatics
|August 5, 2024
概括
养老院的护士在药物管理期间经常进行多任务处理,增加认知负载和潜在的错误. 这项研究分析了护理干预措施,揭示了影响工作流效率的复杂多任务模式.
科学领域:
- 护理科学 护理科学
- 医疗保健管理的管理
- 临床信息学 临床信息学
背景情况:
- 在临床环境中,多任务处理增加了认知负担和错误的风险.
- 时间运动研究 (TMS) 的数据表明,在养老院的药物管理过程中,护士在广泛的多任务处理中进行了广泛的多任务处理.
- 了解多任务护理干预措施对于优化药物管理工作流程至关重要.
研究的目的:
- 用连续观察TMS方法描述与药物管理相关的多任务护理干预措施的对.
- 调查干预措施,包括药物制备,管理,效果评估,指导和文档.
- 为优化药物管理工作流提供基础.
主要方法:
- 使用连续观测的时间运动研究 (TMS) 方法.
- 在数据收集的TimeCaT软件中使用了57个预定义的Omaha系统护理干预.
- 分析了120小时的时间标记观察数据,来自一个养老院的9名护士.
主要成果:
- 大多数 (74%) 药物管理干预措施涉及多任务处理,导致 2,003 个干预对.
- 57个奥马哈系统干预中的35个是多任务对的一部分.
- 多任务药物准备时间更长 (162s vs. 81s),而文档时间更短 (66s vs. 93s).
结论:
- 养老院的药物管理是复杂的,其特点是众多多样化的多任务对.
- 研究结果为研究药物管理多任务处理和开发临床/信息化解决方案提供了基础.
- 在其他临床环境中,TMS方法可用于研究多任务处理.
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