减少在成人住院患者环境中的烦遥测报警
Angela L Feurer1, Suzanna Fitzpatrick2, Barbara Wise2
1School of Nursing, University of Maryland, College Park, MD, USA angiefeurer@gmail.com.
Journal of doctoral nursing practice
|April 25, 2025
概括
实施基于证据的警报包安全地减少了成人急症监护单位的不可操作的遥测警报. 这项质量改进项目解决了警报疲劳问题,并通过优化警报管理策略来提高患者安全.
科学领域:
- 护理 护理 护理
- 患者安全 患者安全
- 临床信息学 临床信息学
背景情况:
- 过度的临床报警会导致报警疲劳和危及患者安全.
- 急症病房平均每小时发出19.44个警报/患者.
- 证据支持实施警报捆绑来缓解这些问题.
研究的目的:
- 实施一个基于证据的包,以减少不可操作的遥测报警.
- 改善成人急性护理住院病人的病患安全.
- 为了解决医疗保健工作人员的警报疲劳问题.
主要方法:
- 一个质量改进项目,利用每周的审计来评估工作流的遵守.
- 使用运行图表可视化基于审计结果的流程遵守.
- 专注于在两个成人急症病房实施警报捆绑.
主要成果:
- 每天改变电极贴纸的遵守率为80%,EMR文档的遵守率为75%.
- V贴纸放置错误发生在34%.
- 护士驱动的心率参数定制为17%,75%遵守待机使用.
结论:
- 基于证据的警报包可以安全地引入成人急症监护机构.
- 实施的捆绑有效地减少了不可操作的警报.
- 在定制患者参数时,保持了安全的临床判断.
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