难以输管警报与难以输管的发病率降低有关
Anna M Budde1, Andrea L Barrett2, Ashley C Benner3
1Anesthesiology, University of Minnesota School of Medicine, Minneapolis, USA.
Cureus
|November 29, 2024
概括
在电子健康记录中实施重新设计的难以输入管道警报,大大降低了实际难以输入管道的发生率. 这项质量改善计划通过更好地预测和管理具有挑战性的气道病例,提高了患者的安全性.
科学领域:
- 麻醉学 麻醉学
- 提高质量 提高质量
- 患者安全 患者安全
背景情况:
- 难以或失败的气管管道输入带来了严重的患病和死亡风险.
- 难以输入管道的先前记录是未来空气管道管理挑战的强有力的预测因素.
研究的目的:
- 在电子健康记录中实施和评估重新设计的,高度可见的难以输入管道警告.
- 确定改进的警报系统是否减少了难以输入管道的发生率.
主要方法:
- 一个质量改进项目重新设计了难以输入管道的警报,以提高EHR的可见性.
- 预测难以输入管道的标准包括醒着输入管道,绘制"困难/无法",超过3次尝试,或3-4级喉腔镜视图.
- 如果麻醉临床医生认为输内管是困难的,则会触发警报,从而促使患者的问题列表被添加到问题列表中.
主要成果:
- 干预后的警报申请从9%增加到38% (p<0.001).
- 预计难以输入管道的月均百分比实际上被绘制为难以输入管道的月均百分比从68%显著下降到42% (p<0.001).
结论:
- 实施重新设计的难以输入管道警报与难以输入管道的发病率降低有关.
- 增强的EHR警报可以提高难以实现的输内管道记录的准确性和潜在的患者结果.
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