远程监控:如何通过适当的组织在一个设备诊所最大限度地提高效率
Massimiliano Maines1, Giancarlo Tomasi1, Luisa Poian1
1Department of Cardiology, Santa Maria del Carmine Hospital-APSS Trento, Corso Verona 4, 38068 Rovereto, TN, Italy.
Journal of cardiovascular development and disease
|September 27, 2024
概括
通过减少预定传输和优化警报来简化远程设备监控,可以显著降低患者传输率. 这使得远程监控对医疗保健提供者来说更具可持续性和可管理性.
科学领域:
- 心脏病学 心脏病学
- 医疗器械技术 医疗器械技术
- 医疗信息学 医疗信息学
背景情况:
- 远程设备监控是心脏植入式电子设备的I A类护理标准.
- 尽管有强烈的建议,但由于临床医生的工作量,远程监控的采用受到阻碍.
- 确保远程监控系统的可持续性对于更广泛的实施至关重要.
研究的目的:
- 为了减少与远程设备监控诊所相关的工作量.
- 通过流程优化,提高远程监控实践的可持续性.
- 减少每名患者每年数据传输的次数.
主要方法:
- 消除了循环记录器的计划传输,仅保留警报.
- 节拍器的定期传输量从每年4个减少到1个,除器从每年4个减少到2个.
- 优化了设备警报编程和定制警报参数.
主要成果:
- 每年每名患者的总体传播率从7.3降至4.7.
- 具体的减少包括循环记录器传输 (14至10.4),起器传输 (6.5至5.2) 和除器传输 (4.7至3.1).
- 这些变化从2020年1月到2022年1月分阶段实施.
结论:
- 对计划传输频率的简单调整和警报优化可以提高远程监控的可持续性.
- 减少传输负担提高了诊所的效率,并支持更广泛地采用远程监控.
- 优化的远程监控协议对于有效管理设备数据至关重要.
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