减轻警报疲劳,并通过减少无效的警报来改善床边体验
Jeffrey K Yang1, Felice Su1, Anna Graber-Naidich2
1Department of Pediatrics, Stanford University, Stanford, CA.
The Journal of pediatrics
|August 31, 2024
概括
实施有条件的床边报警触发了心脏病和儿科重症监护病房中不可操作的警报的显著减少. 这项质量改进计划增强了护理经验,而不会损害患者的安全.
科学领域:
- 关键护理医学 关键护理医学
- 生物医学工程 生物医学工程
- 患者安全 患者安全
背景情况:
- 来自床边监视器的警报对于患者的安全至关重要,但由于高频率的不可操作的警报,通常会导致警报疲劳.
- 减少无效报警对于提高临床报警系统的有效性和预防不良事件至关重要.
研究的目的:
- 评估条件床边报警触发器对不可操作的报警频率的影响.
- 评估这些变化是否会影响护士和家庭的患者安全和满意度.
主要方法:
- 在急性护理心脏病科和儿科重症监护科进行了一项单中心质量改进计划.
- 床边监视器在基线期后被重新编程为等级时间延迟和条件警报触发器.
- 收集了警报数据和患者安全事件,并在干预前后对护士和家人进行了调查.
主要成果:
- 观察到每天监测患者的警报中位数显著减少:儿童重症监护病房的75%,急性心脏病房的82%.
- 随访2年后,警报的减少持续,快速响应电话,紧急转移或代码事件的数量没有增加.
- 护士报告说,他们对报警的反应能力有所提高,感知到的不可操作的报警数量减少;然而,家庭调查没有显示睡眠质量有所改善.
结论:
- 使用有条件触发器对床边监控报警系统的修改有效降低了重症监护机构的总报警频率.
- 这些变化改善了护理人员的体验,并保持了患者的安全.
- 可能需要进一步的研究来解决家庭对睡眠质量满意度的问题.
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