实施基于警报的战略:通往心血管电子设备的可持续远程监控的道路
Massimiliano Maines1, Francesco Peruzza1, Mauro Laurente1
1Santa Maria del Carmine Hospital, Rovereto, TN, Italy.
International journal of cardiology
|June 6, 2025
概括
优化心脏植入式电子设备的远程监控 (RM),通过减少传输和专注于可操作的警报,显著提高了效率. 这种基于警报的战略使得服务人员比最初估计的要少.
科学领域:
- 心脏病学 心脏病学
- 医疗器械技术 医疗器械技术
- 医疗信息学 医疗信息学
背景情况:
- 远程监控 (RM) 是心脏植入式电子设备的患者的标准.
- 广泛使用RM对临床工作人员的工作量构成重大挑战.
- 优化RM对于高效的患者护理和资源管理至关重要.
研究的目的:
- 评估工作流程优化对远程监控效率的影响.
- 根据基于警报的模型评估RM服务的可持续性.
- 分析与患者数量和监测策略有关的人员需求.
主要方法:
- 对RM活动 (2018-2023) 的回顾性观察分析.
- 干预措施:减少传输频率,重新编程不可操作的警报,采用基于警报的监控.
- 使用心律协会的RM诊所人员计算器估计的员工需求.
主要成果:
- 在RM的患者入学率增加了44% (1887年到2741年).
- 在所有设备类型中,每患者年传播率显著下降 (p < 0.05).
- 由于工作流程的优化,实际人员数量 (2个FTE) 低于估计数量 (高达6个FTE).
结论:
- 基于警报的RM策略,根据患者需求量身定制,并尽量减少不可操作的警报,提高效率.
- 这种方法支持服务的可持续性,并优化临床资源的分配.
- 结果与专家的共识一致,并支持更广泛的RM实践优化.
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