临时COVID-19重症监护室的报警管理:对未来的流行病进行回顾性分析和建议
Maximilian Markus Wunderlich1, Nicolas Frey1, Sandro Amende-Wolf1
1Institute of Medical Informatics, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
JMIR medical informatics
|September 9, 2024
概括
与标准ICU相比,COVID-19期间的临时重症监护室 (ICU) 的报警负担更高,工作人员的报警疲劳增加. 对警报管理的培训对于未来的流行病准备工作至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 卫生系统管理管理卫生系统管理
- 传染病流行病学 传染病流行病学
背景情况:
- 由于COVID-19的流行,需要建立临时的重症监测系统的临时重症监护病房 (ICU).
- 本研究调查了这些临时设置对报警负担和医疗保健人员报警疲劳的影响.
研究的目的:
- 为了比较临时COVID-19ICU和标准非COVID-19ICU中的报警情况.
- 为了每天评估每张床的报警,确定高频报警设备,评估报警时间,并测量工作人员的报警疲劳.
主要方法:
- 来自2个临时COVID-19ICU和2个标准非COVID-19ICU的报警数据的比较分析.
- 与医学专家进行采访,以形成关于警报负载和疲劳的假设.
- 分析患者监控系统报警日志和工作人员报警疲劳调查问卷.
主要成果:
- 在COVID-19重症监护室,每张病床每天的报警量显著增加 (P<.001).
- 在COVID-19重症监护室的员工报告说,警报疲劳明显增加 (P=.04),许多人缺乏警报管理经验.
- 没有发现特定于COVID-19的警报模式;整体警报持续时间在ICU类型之间是相似的.
结论:
- 在COVID-19ICU中观察到更高的报警负载和报警疲劳.
- 需要加强ICU工作人员的报警管理培训,特别是为未来的流行病做准备.
- 建议进行进一步的研究,以验证研究结果,并探索在各种ICU环境中有效的报警管理策略.
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