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从中断性到非中断性警报转换不有效药物等待警报,以减少警报负担
Lindsey A Knake1,2, Joshua M Kettelkamp2, Alison Bronson2
1Division of Neonatology, Department of Pediatrics, University of Iowa, Iowa City, Iowa, United States.
Applied clinical informatics
|June 16, 2025
概括
将中断性药物警报转换为非中断性药物警报显著减少了警报疲劳. 这一变化并没有对临床结果或有关药物库存的供应商实践产生负面影响.
科学领域:
- 临床信息学 临床信息学
- 患者安全 患者安全
- 卫生系统研究 卫生系统研究
背景情况:
- 干扰性临床决策支持 (CDS) 警报旨在增强患者护理,但可能导致警报疲劳,降低其有效性.
- 一种在预警状态下的特定药物被发现具有最小的临床影响,同时显著促进了警觉疲劳.
研究的目的:
- 评估将大量,中断性药物在预警状态转换为非中断形式对提供者实践的影响.
- 评估这种变化是否会影响药物恢复和患者安全事件.
主要方法:
- 采用了干预前后队列研究设计.
- 在警报过渡之前和之后的6个月内,提供商的做法进行了比较.
- 从电子健康记录中提取了有关警报相互作用,药物保留时间和安全事件的数据.
主要成果:
- 在过渡到不间断的警报后,警报点击数从33,632次大幅下降到305次.
- 对于持有的药物>48小时 (81.5 vs 85.6小时) 的中位保持时间没有显著变化.
- 经常持有的药物没有变化,也没有报告的药物等待安全事件.
结论:
- 原来的中断药物在预警状态下是无效和繁重的.
- 将警报转换为不间断的格式成功地减少了警报疲劳,而不会影响临床结果.
- 仔细评估和重新设计CDS警报对于平衡临床效用和提供者负担至关重要.
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