一种系统的方法来选,识别和纠正故障的中断警报
EzzAddin Al Wahsh1, Justin Juskewitch2, Carol Eichenlaub3
1AL Clinic, Minneapolis, Minnesota, United States.
Applied clinical informatics
|August 20, 2025
概括
多模式方法有效地识别和纠正功能不良的临床警报,减少警报疲劳并改善患者护理. 这种系统策略优化了医疗保健系统的资源配置.
科学领域:
- 临床信息学 临床信息学
- 医疗保健系统工程 系统工程
- 患者安全 患者安全
背景情况:
- 断断续续的警报会对临床工作流产生负面影响,导致警报疲劳,提供者丧和倦怠.
- 警报覆盖是一个常见的,在各种医疗保健环境中异构的问题.
- 需要一种系统的方法来管理故障警报,并保留有益的警报.
研究的目的:
- 开发和实施一种系统的方法来选,识别和纠正在三级医疗保健系统中功能障碍的中断警报.
- 评估多式联运干预措施在应对警报人群中的有效性.
- 改善警报管理的治理结构.
主要方法:
- 使用定义的纳入/排除标准选警报人群.
- 进行探索性分析和专家小组验证.
- 通过重点小组和采访进行根本原因分析.
- 优先考虑改善警报和评估解决方案.
主要成果:
- 从2023年1月到6月评估了大约1500个独特警报.
- 使用了以警报为中心和以人/系统为中心的分析方法.
- 确定了企业实践的变化,设计和文化问题作为警报故障的触发因素.
- 证明了专家小组在加强警报评估方面的价值.
结论:
- 多模式干预方法对于有效评估和对中断警报采取行动至关重要.
- 结合分析和非分析方法,为警报管理提供了一个协同作用的框架.
- 这种系统的方法可以缩短时间和优化资源配置,以应对机构警报挑战.
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