关于在新生儿重症监护病房工作人员中为心电图警报管理提供决策支持的呼吁:多中心,跨部门调查
Xiaoli Tang1,2,3,4, Xiaochen Yang2,4, Jiajun Yuan1,3
1Shanghai Engineering Research Center of Intelligence Pediatrics, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Journal of medical Internet research
|December 20, 2024
概括
新生儿重症监护室 (NICU) 的员工经常遇到令人烦的心电图 (ECG) 报警,导致负面的看法和需要更好的决策支持系统. 解决这些警报疲劳问题对于改善护理至关重要.
科学领域:
- 新生儿重症监护室 (NICU) 医学 新生儿重症监护室 (NICU) 医学
- 临床工程 临床工程
- 医疗保健信息学 医疗保健信息学
背景情况:
- 新生儿重症监护室的电心电图 (ECG) 报警器通常具有高灵敏度和低特异性,导致报警疲劳和对新生儿发育的潜在负面影响.
- 报道不充分的不良事件和人员疲劳是与当前ECG报警系统相关的重大问题.
研究的目的:
- 进行全国性的,多中心的,大样本的横截面调查,以评估医疗保健提供者的当前做法和关于心电图报警的决策需求.
- 确定关于临床心电图报警的NICU工作人员的感知和决策支持需求.
主要方法:
- 在中国27个省份对NICU工作人员进行了全国性的横截面调查.
- 收集了与心电图报警相关的临床实践,感知,决策过程和决策支持需求的数据.
- 使用千平方,克鲁斯卡尔-沃利斯和曼-惠特尼U测试进行了比较分析.
主要成果:
- 1019名NICU工作人员参与了调查,报告了许多烦警报和对心电图报警系统的负面看法.
- 医生,以及拥有高等教育和职位的员工,表现出更负面的看法.
- 显著多数 (62.32%) 发现修改报警参数是困难的,智能模块辅助决策支持系统是最需要的.
结论:
- 幼儿重症监护室工作人员表现出对处理心电图报警的负面看法和重大决策要求.
- 医疗保健政策制定者必须优先考虑这些决策需求,并实施各种决策支持解决方案,以减轻警报疲劳和改善患者护理.
关键词:
这是一个ECG报警器.一个跨部门调查.在决策过程中做出决定.电心电图 (ECG) 是一种心电图.医疗保健提供者提供医疗保健.在全国范围内,在全国范围内.新生儿重症监护室新生儿重症监护室感知 感知 感知 感知在实践中,实践实践.更多相关视频
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