通过用户接受测试增强临床决策支持,以促进患有呼吸道困难的儿科患者的情境意识
Megan Dahl1,2, Sarah A Thompson3, Jerry Chih4
1Pediatrics, Emory University School of Medicine, Atlanta, United States.
Applied clinical informatics
|June 12, 2025
概括
临床决策支持 (CDS) 的重新设计显著降低了儿科困难呼吸道的警报负担. 可用性测试改进了设备订购,但没有标志安置或护士意识.
科学领域:
- 儿科重症监护 儿科重症监护
- 医疗信息学 医疗信息学
- 患者安全 患者安全
背景情况:
- 患有呼吸道困难的儿童在呼吸困难时面临高风险.
- 有效的团队合作和应急准备对于防止不良结果至关重要.
- 临床决策支持 (CDS) 系统可以提高情境意识和安全性.
研究的目的:
- 开发和完善一个CDS系统,以提高儿科困难呼吸道的情境意识.
- 为了尽量减少与CDS系统相关的警报负担.
- 评估代CDS重新设计对关键安全行为的影响.
主要方法:
- 在2015年至2023年期间,实施了CDS系统的三个代设计.
- 警报负担每月进行一次测量.
- 观察评估了:难以呼吸的气道标志,适当的设备订单和初级护士的意识.
主要成果:
- 警报负担大幅下降,从每月的12316次下降到每月125次.
- 适当设备的订单从51.4%大幅增加到83.9% (p<0.001).
- 没有观察到标志放置或护士意识的显著变化.
结论:
- CDS重新设计,特别是可用性测试,可以大幅减少警报负担.
- 重复设计重点关注用户反,改善了特定的安全实践.
- 可能需要进一步优化,以增强困难的气道管理的各个方面.
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