在医院医学中描述推送通知量和交付模式
Averi Wilson1, Andrew Patrick Bain2, Suhani Goyal3
1Pediatrics & Clinical Informatics Center, University of Texas Southwestern, Dallas, United States.
Applied clinical informatics
|February 4, 2026
概括
医院医生每年收到超过一百万个推送通知,可能导致警报疲劳. 这项研究量化了通知量和模式,以告知系统改善患者安全和临床医生的福祉.
科学领域:
- 临床信息学 临床信息学
- 医疗保健操作 医疗保健操作
- 患者安全 患者安全
背景情况:
- 推送通知在住院临床沟通中很普遍,但其数量和模式未得到充分研究.
- 医疗保健中的高预警量与预警疲劳有关,新通知类型可能会加剧这种情况.
- 了解推送通知特征对于优化临床工作流程至关重要.
研究的目的:
- 为医院医生量化推送通知的数量,类型和时间.
- 分析学术卫生系统中不同医院医生角色的通知模式.
- 为了确定潜在的贡献者,以警报疲劳在住院病人的设置.
主要方法:
- 来自一个大型学术卫生系统的电子健康记录 (EHR) 审计日志的横截面分析.
- 提取并分类一年时间内医院主治医生收到的所有推送通知.
- 按小时,医院医生的角色和设备类型汇总通知数据.
主要成果:
- 97名医院医生在一年内收到了超过110万条推送通知.
- 通知平均每小时11次,医院医生每天收到每名患者9次.
- 安全消息主导了通知;与结果相关的警报仅为2.2%.
结论:
- 医院医生面临大量的推送通知,冒着警报疲劳和影响患者安全的风险.
- 需要系统级干预来优先考虑关键警报并优化通知设置.
- 加强安全消息传递基础设施对于临床医生专注和患者安全至关重要.
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