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一个用于医疗植入物的追踪,记录和提醒的自动化系统 (TRACER) - - 一项使用尿道支架的试点研究
Han Jie Lee1, Jeremy Yong Jie Tay1, Shuqin Ye2
1Department of Urology, Sengkang General Hospital, Singapore, Singapore.
Journal of endourology
|February 12, 2025
概括
一个新的植入物跟踪,记录和提醒的自动化系统 (TRACER) 有效地监测尿管支架,防止延迟移除并提高患者安全.
科学领域:
- 医疗信息学 医疗信息学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 患者安全 患者安全
背景情况:
- 暂时植入的医疗器械需要强大的跟踪系统,以防止患者因延迟移除而致病.
- 目前的临床系统往往缺乏无跟踪临时植入物,如尿路支架.
- 手动记录和电子记录可能容易出现遗漏和低效率.
研究的目的:
- 开发和评估一种用于暂时部署尿道支架的新型自动化植入物跟踪,记录和提醒系统 (TRACER).
- 评估TRACER在确保及时切除支架和减少相关临床风险方面的有效性.
- 确定系统在现有医院工作流程中无集成的潜力.
主要方法:
- 开发TRACER系统,包括用于植入物关联的双触发机制,自动数据验证,及时临床医生提醒和移除时停止.
- 从2022年1月到2023年12月的尿路支架记录的回顾性审查和比较.
- 分析手动日志,电子作战记录和TRACER数据集中的数据.
主要成果:
- 由于初始登录不完整,TRACER成功识别了15个可能无法跟踪的支架.
- 该系统标记了5.9%的支架延迟移除,导致3.9%的患者成功干预.
- 除了特定的临床例外 (转移,死亡,计划延误) 外,所有跟踪式支架都及时被移除.
结论:
- TRACER系统是一种有效,安全和可行的解决方案,用于跟踪暂时植入的设备.
- TRACER展示了显著的人力节约和可扩展到其他植入式设备的高潜力.
- 实施TRACER可以通过确保及时移除临时植入物来提高患者的安全性.
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