开发一种新的心脏骤停通风率计量仪:一个人类因素和实施科学混合方法方法的方法
Amanda O'Halloran1,2,3, James Sannino4, Cheryl Dominick5
1Division of Critical Care, Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA.
概括
这项研究开发了一种新型的计量仪,以提高心肺复苏 (CPR) 期间的通风率. 该设备显示出高可用性,并在模拟中实现了与推的CPR通风速率的良好一致性.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 人类因素工程 人类因素工程
- 生物医学工程 生物医学工程
背景情况:
- 在心肺复苏 (CPR) 期间过度通风会对血液动力学和患者的结果产生负面影响.
- 儿科提供者经常难以遵守推的CPR通风速率.
- 提高通风合规性对于优化CPR有效性至关重要.
研究的目的:
- 设计和评估一种使用人类因素工程的新型计量仪,以提高遵守指南推的CPR通风速率.
- 测试测量仪表仪能达到高可用性得分 (系统可用性尺度>68) 的假设,并提高通风率的准确性 (>70%的目标范围内的时代).
主要方法:
- 一个前性的,单中心的,混合方法的研究在一个75个床位的学术儿科重症监护室 (PICU) 进行.
- 多学科的临床医生参与了调查反,参与式设计会议和高保真模拟可用性测试.
- 呼吸速率在30秒的心肺复苏时期进行了评估,目标坚持被定义为与推速率相比±2次呼吸/分钟.
主要成果:
- 临床调查表明,对计量仪的适当性,可接受性和可行性有好感.
- 在34名临床医生进行的可用性测试中,系统可用性评分的中位数为92.5,归因错误为零.
- 在模拟的心肺复苏过程中,94%的时代在目标速率的±2次呼吸/分钟内实现了通风速率.
结论:
- 人类因素工程和实施科学成功地应用于创建有效的通风率计量仪.
- 新型计量仪表表现出高可用性,并在模拟环境中显著改善了对推的CPR通风速率的遵守.
- 这种设备在临床环境中增强心肺复苏质量方面表现有前途.
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