使用电子医疗记录警报,防止在患有精神病原性非发作的患者中进行阳性干预
Serena Yin1, Lydia Wolkiewicz2,3, Bichun Ouyang3
1Neurology, Rush University Medical Center, Chicago, IL.
Neurology. Clinical practice
|April 15, 2025
概括
一个电子医疗记录最佳实践警报 (BPA) 有效地减少了心理非发作 (PNES) 的医院干预. 这种预警系统改善了患者护理,减少了医疗保健利用率,没有任何不良事件.
科学领域:
- 神经学 神经学
- 医疗信息学 医疗信息学
- 患者安全 患者安全
背景情况:
- 心理非发作 (PNES) 经常被误诊,导致不必要的医疗干预.
- 患有PNES的患者通常会因为误诊而接受诸如镇静和输管等激烈治疗.
研究的目的:
- 评估电子病历 (EMR) 最佳实践警报 (BPA) 在预防被诊断为PNES的患者的阳性干预措施的有效性.
- 评估BPA对PNES患者医疗保健利用的影响.
主要方法:
- 在2017年1月至2019年12月期间,对2017年1月至2019年12月期间引发PNES BPA的患者进行了回顾性图表审查.
- 在第一次BPA触发之前和之后的一年里,紧急诊所的访问和住院的比较.
- 使用威尔科克森签名等级测试和麦克纳马测试进行统计分析.
主要成果:
- 在178名患者中引发了PNES BPA;80%是女性,平均年龄为41岁.
- 在BPA实施后,ED访问,入院,ICU入院,输管和二使用的数量显著下降 (p <0.05).
- 没有发现与BPA相关的不良事件.
结论:
- 对于PNES患者来说,EMR BPA是安全且有效的,可以预防阳性干预.
- BPAs可以减少急性医疗利用率,并作为PNES的医疗保健提供者的教育工具.
- 实施BPA可以改善在医院环境中的PNES患者的管理和护理.
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