[早期预警分数:医学质量倡议中的实施,挑战和解决方案]
Peter Nydahl1,2, Marie-Madlen Jeitziner3, Susanne Krotsetis4
1Pflegewissenschaft und -entwicklung, Universitätsklinikum Schleswig-Holstein UKSH, Haus V40, Arnold-Heller-Str. 3, 24105, Kiel, Deutschland. Peter.Nydahl@uksh.de.
早期预警分数 (EWS) 在医院的实施是有限的,包括人员接收和技术基础设施在内的挑战. 需要进一步的研究来了解有效使用EWS的障碍和促进因素.
科学领域:
- 医疗信息学 医疗信息学
- 患者安全 患者安全
- 提高质量 提高质量
背景情况:
- 早期预警分数 (EWS) 对于检测住院患者的临床恶化至关重要,使及时干预成为可能.
- 在医学质量倡议 (IQM) 网络中,EWS的实施程度尚不清楚.
- 在IQM网络中实施EWS的促进和挑战因素需要调查.
研究的目的:
- 评估EWS在IQM网络中的实施状态.
- 识别与EWS使用相关的结构,流程,障碍和促进者.
- 了解EWS实施的自我评分程度.
主要方法:
- 在IQM网络医院中进行了一项在线调查.
- 该调查评估了EWS特定的结构,流程,障碍和促进者.
- 实施程度是根据数字尺度 (1-10) 进行自我评分的.
主要成果:
- 只有18.7%的接触者回应;6.3%的人报告使用EWS平均4.3年.
- 国家-EWS (NEWS) 是最常见的,主要用于一般医疗病房,电子记录在82.2%.
- 实施的中位数为3.5;主要促进因素包括员工的承诺和培训,而障碍因素包括员工的接受和技术基础设施.
结论:
- 在IQM网络中实施EWS似乎有限且复杂.
- 工作人员接受和技术问题等障碍阻碍了广泛采用.
- 低响应率限制了研究结果的概括性.
更多相关视频
12:18A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
相关概念视频
Errors occurring during blood pressure monitoring
Several factors...
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Guidelines For Measuring Vital Signs
Before taking a patient's vital signs, a nurse would consider and assess the patient's comfort level and ensure appropriate equipment is available.
Pharmacovigilance
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
Purpose of Health Records I
Here's a breakdown of how health records serve these purposes:
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
