护理信息学和重症监护机构的患者安全结果:系统性审查
Qian Shi1, Rosie Wotherspoon2, Julia Morphet3
1Nursing & Midwifery, Monash University, Austin Health, Melbourne Room 2.32, Level 2, Building E, Peninsula Campus, 47 - 49 Moorooduc Highway, Frankston, Melbourne, VIC, 3199, Australia. qian.shi@monash.edu.
在重症监护机构的护理信息学通过预防压力和药物错误等不良事件,显著提高了患者的安全性. 这些系统提高了护理合规性,并可以降低整体医疗保健成本.
科学领域:
- 护理信息学 护理信息学
- 患者安全 患者安全
- 关键护理医学 关键护理医学
背景情况:
- 护理信息学在现代医疗保健提供中发挥着至关重要的作用.
- 它对重症监护机构患者安全的影响需要彻底调查.
研究的目的:
- 系统地审查护理信息学对重症监护环境中的患者安全结果的影响.
主要方法:
- 通过使用多个数据库进行了系统审查,包括MEDLINE,Cochrane图书馆,CINAHL,Emcare,PsycINFO和Embase.
- 数据选择和批判性评估是由两个审查员根据JBI指南独立进行的.
- 其中包括17篇专注于重症监护机构的高质量文章.
主要成果:
- 在重症监护中实施护理信息技术与改善患者安全有关.
- 关键的好处包括压力和药物错误的发生率降低,更好的血糖控制和更短的住院时间.
- 信息技术还提高了对各种患者风险的护理包合规性和查完成率.
结论:
- 护理信息学在促进重症监护机构的患者安全方面已被证明是有效的.
- 尽管初始成本很高,但信息技术的干预可以通过预防不良事件来降低成本.
- 建议采用电子健康记录,临床决策支持和远程医疗系统,以实现更广泛的采用.
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