临床报警管理在重症监护室:一个范围审查
Chunqing Yang1, Ping Gao2, Hanlin Ji2
1Department of Nursing, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Nursing in critical care
|April 28, 2025
概括
在重症监护室 (ICU) 进行临床报警管理对于患者安全至关重要. 本次审查确定了诸如参数定制和培训之类的关键策略,强调了进一步研究和智能系统的必要性.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 临床信息学 临床信息学
背景情况:
- 在重症监护室 (ICU) 的临床报警是必不可少的,但对患者的安全构成风险.
- 有效的报警管理至关重要,ICU护士作为急救人员发挥着至关重要的作用.
- 目前缺乏关于ICU中的报警管理方法和指标的全面概述.
研究的目的:
- 系统地识别和绘制现有的ICU临床报警管理方法.
- 记录用于临床报警管理的干预措施.
- 列出用于临床报警管理的评估指标.
主要方法:
- 在多个主要数据库 (PubMed,Cochrane图书馆,科学网,CINAHL,EMBASE,CNKI,SinoMed,Wan Fang数据) 进行了系统的文献搜索.
- 包括了专注于在重症监护病房设置中的临床报警管理的研究.
- 进行了数据提取和合成,以确定共同的主题和策略.
主要成果:
- 包括23项研究,揭示了不同的管理方法和框架.
- 关键管理策略包括定制报警参数,提供教育和培训,标准化设备操作,利用辅助工具和建立标准化响应协议.
- 在三个层面确定了评估指标:报警系统,医疗保健专业人员和患者.
结论:
- 临床报警管理在ICU,特别是监控报警是一个不断发展的领域,需要进一步的研究.
- 虽然取得了进展,但需要进行更全面,更系统的研究.
- 多学科协作和智能报警管理系统被强调为未来患者安全进步的关键.
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