重新考虑生物危险体液警报,以改善工作流程和安全
Erica Patterson1,2, Adam Paul Yan3,4, Shawna Silver4,5
1Clinical Informatics, The Hospital for Sick Children, Toronto, Ontario, Canada.
Applied clinical informatics
|October 3, 2025
概括
重新设计临床决策支持 (CDS) 警报,通过将破坏性弹出窗口更改为被动通知,减少了临床医生的警报疲劳. 这改善了工作流程,并保持了对危险体液暴露风险的安全沟通.
科学领域:
- 医疗保健信息学 医疗保健信息学
- 患者安全 患者安全
- 人与计算机的交互
背景情况:
- 临床人员接触危险药物和体液会给健康带来重大风险,包括致癌性和器官毒性.
- 在SickKids电子病例记录 (EPR) 中先前发布的生物危险体液警报是无效的,行动率为0%,医生浪费了大量的时间.
- 经过42个月的临床反表明,由于警报的破坏性和高频率,他们感到丧和不敏感.
研究的目的:
- 重新设计临床决策支持 (CDS) 系统,以尽量减少危险的体液暴露风险.
- 为了减少临床医生经历的警觉疲劳.
- 改善工作流程集成,同时保持关键的安全沟通.
主要方法:
- 为了重新设计警报系统,采用以人为中心的设计方法.
- 打断式弹出警报被转化为被动通知,集成到患者的电子健康记录 (EHR) 故事板中.
- 持续的评估和反收集指导了重新设计过程.
主要成果:
- 重新设计的被动通知减少了工作流程中断,因为它允许临床医生以非侵入的方式访问危险状态信息.
- 新系统有效地平衡了安全沟通的需要和对高效临床工作流程的需求.
- 重新设计通过改变警报传递机制来解决警报疲劳的根本原因.
结论:
- 重新设计CDS警报对于提高临床医生的安全性和提高工作流程效率至关重要.
- 被动通报可以是一个有效的策略,以减轻警报疲劳,同时保持基本的安全信息.
- 计划进行进一步的评估,以评估对个人防护设备遵守和临床医生倦怠的影响.
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