寻找静脉血栓栓塞的正确时间 预防 预防 警报
Stijn Hentzen1, Sarah Hacker2, Nathan Meyer2
1Internal Medicine University of Iowa.
The Brown journal of hospital medicine
|March 6, 2025
概括
延长自动静脉血栓栓塞 (VTE) 预防警报的睡眠延迟并没有减少警报负担. 提供者响应文化,不仅仅是警报参数,影响警报疲劳.
科学领域:
- 医疗保健信息学 医疗保健信息学
- 临床决策支持系统 临床决策支持系统
- 患者安全 患者安全
背景情况:
- 静脉血栓栓塞 (VTE) 预防的自动化提供者警报是常见的.
- 一个小小的东西.
- 沉睡的时间是snooze.
- 该功能允许用户延迟重复警报,导致高VTE警报沉睡率 (67%).
研究的目的:
- 通过增加VTE预防警报的睡眠延迟,将警报负担降低25%.
- 评估延长睡眠延迟对警报频率和遵守VTE预防指南的影响.
主要方法:
- 一个高等保健学术医疗中心实施了对VTE警报 (1,2,3小时) 的睡眠延迟的变化.
- 收集的数据包括每100次入院的警报,警报中沉默的百分比,药物预防率和VTE核心度量满意度.
- 主要结果:每100例入院发生警报. 二次结果:睡眠百分比,药物预防和核心措施的遵守.
主要成果:
- 每100次入院的警报 (168对176,p=0.375) 或药物预防率 (50.9%对50.9%,p=0.997) 没有显著变化.
- 观察到警觉睡眠的小幅减少 (67.0%至63.2%,p<0.001) 和核心度量满意度的轻微增加 (86.0%至88.0%,p=0.025).
- 后期分析显示,同一个患者,同一个医疗服务提供者的警报之间的中位数间隔增加了 (3.4至8.3小时). 内部医学医院医生在78%的VTE警报中沉睡.
结论:
- 增加睡眠延迟时间并没有有效地降低整体警报负担.
- 仅仅修改警报参数不足以减少警报负担;提供者响应文化的改变是必要的.
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