在重症监护病房内IV智能药物管理期间中断的评估
Cidalia J Vital1, Ginger Schroers2, Katie Fortnam3
1Nurse Scientist and Program Director Nursing Research and Holistic Nursing Baystate Medical Center Springfield Massachusetts, Research Liaison and Lecturer, Elaine Marieb College of Nursing, University of Massachusetts Amherst, Amherst, MA.
干扰严重影响注射药物的护士,耗费近25%的时间. 解决这些干扰是提高医疗机构效率和患者安全的关键.
科学领域:
- 护理实践 护理实践
- 药物安全 药物安全
- 医疗信息学 医疗信息学
背景情况:
- 在医疗保健机构中,中断是一个常见的挑战.
- 静脉注射药物是关键的护理任务.
- 了解中断影响对于优化工作流程至关重要.
研究的目的:
- 评估静脉注射智能 (IVSP) 活动中断的类型,频率和持续时间.
- 识别特定的中断来源,包括IVSP警报和报警.
- 为了解中断如何影响IV药物治疗过程做出贡献.
主要方法:
- 观察性,探索性,非干预性研究设计.
- 在一级学术医疗中心收集真实世界的数据.
- 使用电子案例报告表的中断记录.
主要成果:
- 每1.69分钟就会出现IVSP警报/警报,占药物服药时间的24.5%.
- 44%的IVSP药物治疗活动经历了其他中断,平均为每项活动1.23次.
- 医疗保健专业人员,医疗设备和电话是主要的中断来源.
结论:
- 干扰,包括IVSP警报,显著影响护士在IV药物管理期间的时间.
- 简化警报系统和通信协议可以提高效率和患者安全.
- 需要进一步的研究,以减轻临床环境中的工作流程中断.
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