减少警报和远程监控过程优化,以提高远程患者监控程序的效率:框架开发研究研究
Job van Steenkiste1,2,3, Niki Lupgens2, Martijn Kool4
1Faculty of Management Sciences, Open University, Valkenburgerweg 177, Heerlen, 6419 AT, The Netherlands, 31 455762888.
JMIR medical informatics
|June 13, 2025
概括
优化高血压的远程监控程序可以通过调整警报值来显著降低警报负担. 这一框架提高了效率,并允许医疗保健专业人员专注于高风险患者.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康数字健康
- 心血管医学 心血管医学
背景情况:
- 远程监控通过风险分层和减少身体护理需求来提高医疗保健的效率.
- 然而,远程监控的实施和警报处理需要大量的时间投资.
- 目前缺乏一个结构化的方法来优化远程监控流程.
研究的目的:
- 提出一个框架,以优化远程监控计划中的高效护理服务.
- 该框架基于高血压远程监测计划的警报数据分析和场景分析.
- 此外,还进行了关于提高远程监控效率的叙事文献综述.
主要方法:
- 来自高血压远程监控计划 (2022年6月至2023年5月) 一年警报处理数据的分析.
- 对血压警报值的场景分析,以评估对警报负担的影响.
- 关于远程监控警报或工作流程优化研究的全面文献搜索.
主要成果:
- 分析了174个用户和30184个测量结果,引发了17293个警报.
- 电子护士手动处理的警报平均为每位用户21个警报.
- 调整警报值可以将警报数量减少50%左右,节省大量电子护士的时间.
结论:
- 为了优化远程监控效率,开发了一个四步框架.
- 关键步骤包括准确的测量,算法/警报优化,以用户为中心的关注和流程改进.
- 这一框架提供了一个基本的方法来增强现代远程监控程序.
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