在第四级产科病房开发和实施自动化电子产妇预警系统 (E-MEWS)
Cesar R Padilla1, Brendan Carvalho1, Ann M Oakeson2
1Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, USA.
Cureus
|June 24, 2025
概括
美国不断上升的孕产妇发病率和死亡率需要改善监测. 本研究详细介绍了电子医疗记录中集成的电子孕产妇早期预警系统 (E-MEWS) 的开发和实施.
科学领域:
- 产科和妇科 产科和妇科
- 医疗信息学 医疗信息学
- 患者安全 患者安全
背景情况:
- 美国孕产妇发病率和死亡率的上升.
- 需要有效的策略来检测和减少对母亲的不良结果.
- 自动化早期预警监控系统在产科护理中的潜力.
研究的目的:
- 报告电子母亲早期预警系统 (E-MEWS) 的开发和实施情况.
- 将自动警报通知平台集成到电子病历 (EMR) 中.
- 为了证明在EMR系统中实施MEWS的后勤.
主要方法:
- 在三个代阶段开发E-MEWS触发器和警报系统.
- 纳入基于中期审计分析的变化.
- 在Lucille Packard 斯坦福儿童医院的第四级产科病房内实施.
主要成果:
- 成功开发并将E-MEWS集成到EMR中.
- 确定后勤考虑和必要的修改,以实现运营功能.
- 该研究的重点是实施过程,而不是临床影响.
结论:
- 电子警报系统 (E-MEWS) 是将早期预警系统集成到EMR中的一种可行的方法.
- 实施需要仔细规划,代改进,并适应临床工作流程.
- 需要进一步的研究来评估E-MEWS对孕产妇发病率和死亡率的影响.
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