向睡眠友好型医疗保健推进:减少不必要的夜间干预的多方面的方法
Sullafa Kadura1, Lauren Eisner2, Samia H Lopa3
1Department of Medicine, Pulmonary Diseases and Critical Care, University of Rochester Medical Center, Rochester, New York, United States.
Applied clinical informatics
|August 27, 2024
概括
优化电子健康记录 (EHR) 的选择架构和推动减少了不必要的夜间医院干预. 这通过影响临床医生的决策来改善睡眠友好型实践和患者护理.
科学领域:
- 医疗保健管理的管理
- 临床信息学是一种临床信息学.
- 患者安全 患者安全
背景情况:
- 选择架构影响医疗保健决策.
- 刺激是微妙的环境调整指导选择.
- 电子健康记录 (EHR) 可以默认为非临床时间表.
研究的目的:
- 评估一个干预措施,以促进睡眠友好的医院实践.
- 为住院患者的订单频率优化选择架构和推动.
- 减少不必要的一夜间干预.
主要方法:
- 准实验性中断时间序列分析.
- 医院系统中的多方面的干预.
- 用于安排生命体征,神经检查和药物治疗的EHR修改.
- 有针对性的安全消息传递和教育.
主要成果:
- 增加了对睡眠友好的药物订单 (乙氨基,肝素).
- 减少一夜间的药物管理,特别是肝素 (高达18%).
- 增加睡眠友好的生命体征和神经检查订单.
- 一夜之间神经学检查的显著减少.
结论:
- 量身定制的EHR修改和推动减少了一夜之间干预.
- 订单实践的转变导致了一夜之间干预减少.
- 多面的推动有效地影响临床医生的决策和患者护理.
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