优化患者安全:急性和重症监护中的静脉智能可用性
Karen K Giuliano1, Peggy McDaniel2, Dian Baker3
1Karen K. Giuliano is Professor, Institute for Applied Life Sciences and Elaine Marieb College of Nursing, and Codirector, Elaine Marieb Center for Nursing and Engineering Innovation, University of Massachusetts Amherst, 651 N Pleasant St, Amherst, MA 01003 (kkgiuliano@umass.edu).
AACN advanced critical care
|September 4, 2025
概括
静脉注射 (IV) 智能尽管具有安全功能,但由于可用性问题,药物错误率很高. 研究重点是改进输液智能设计和协作,以提高患者安全.
科学领域:
- 生物医学工程
- 患者安全
- 卫生信息学
背景情况:
- 大量的静脉注射 (IV) 智能对于急症和重症监护机构的药物输送至关重要.
- 这些设备包含安全功能,如剂量误差降低系统,但与显著的可用性挑战和药物错误有关.
- 警报疲劳,复杂的接口和解决方案等问题导致错误率高,影响患者安全.
研究的目的:
- 分析IV智能在临床实践中的安全性和可用性.
- 突出与现有的IV智能技术相关的挑战和局限性.
- 强调需要跨学科研究和以用户为中心的设计来推进IV智能创新.
主要方法:
- 综合现有实践研究的证据和FDA召回和市场监测数据的分析.
- 审查跨学科的研究工作,重点是IV智能的可用性和安全性.
- 识别常见的编程挑战,可用性问题和与IV智能相关的解决方案.
主要成果:
- 尽管提高了安全性,但IV智能的药物错误率很高,编程困难和用户相关问题.
- 报警疲劳,复杂的接口和绕过方法的普遍性是导致错误的重要因素.
- 现有数据强调迫切需要改进以用户为中心的设计原则和加强监管.
结论:
- 临床医生,工程师和制造商之间的跨学科合作对于开发更安全,更直观的输液智能系统至关重要.
- 输液智能技术的进步需要关注可用性和人为因素,以减轻错误.
- 提高IV智能的安全性和可用性对于改善重症监护环境中的患者结果至关重要.
相关概念视频
01:19One-Compartment Open Model for IV Bolus Administration: General Considerations
315
The one-compartment model is a pharmacokinetic tool that models the body as a single, uniform compartment, facilitating the understanding of drug distribution and elimination. This model is particularly beneficial for intravenous (IV) bolus administration, where the drug rapidly circulates throughout the body.
The drug's presence in the body is defined by an equation representing the difference between the rates of drug entry and exit. Key parameters—elimination rate constant,...
The drug's presence in the body is defined by an equation representing the difference between the rates of drug entry and exit. Key parameters—elimination rate constant,...
315
01:09One-Compartment Model: IV Infusion
279
Intravenous (IV) infusion is often utilized when continuous and controlled drug delivery is necessary, such as during surgery or in the treatment of chronic diseases. This method offers numerous advantages, including immediate drug action, precise control over dosage, and bypassing the first-pass metabolism.
The one-compartment model for IV infusion uses mathematical equations to describe the rate of change in drug quantity in the body. At steady-state or infusion equilibrium, the drug input...
The one-compartment model for IV infusion uses mathematical equations to describe the rate of change in drug quantity in the body. At steady-state or infusion equilibrium, the drug input...
279
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
297
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
297
01:26Cardiac Catheterization IV: Nursing Management
191
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
191
00:56One-Compartment Open Model for IV Bolus Administration: Estimation of Clearance
135
Clearance is a key pharmacokinetic parameter that quantifies the volume of body fluid from which a drug is entirely removed within a specific time frame. It is crucial in assessing how a drug is eliminated from the body and has critical clinical applications.
In the one-compartment open model for intravenous (IV) bolus administration, clearance is estimated by dividing the elimination rate by the plasma drug concentration. This equation leverages the elimination rate constant and the apparent...
In the one-compartment open model for intravenous (IV) bolus administration, clearance is estimated by dividing the elimination rate by the plasma drug concentration. This equation leverages the elimination rate constant and the apparent...
135
01:15Two-Compartment Open Model: IV Infusion
331
A two-compartment model is a vital tool in pharmacokinetics, providing an essential understanding of drug behavior, especially for those administered via zero-order intravenous infusion. This model outlines two compartments: the central compartment, where elimination occurs, and the peripheral compartment.
The model illustrates the decrease in plasma drug concentration from the central compartment with a specific equation. It shows that under steady-state conditions, the drug's input rate...
The model illustrates the decrease in plasma drug concentration from the central compartment with a specific equation. It shows that under steady-state conditions, the drug's input rate...
331