连续监控设备的可用性与非临界护理单位的恶化警报系统:范围审查
Jo-Fan Pan1, Dawn Dowding1, David Wong2
1University of Manchester, Jean McFarlane Building, Oxford Road, Manchester, M13 9PL, United Kingdom, 886 0924027585.
Interactive journal of medical research
|February 11, 2026
概括
带有警报的持续监测设备的可用性是早期检测非重症监护病房 (ICU) 患者病情恶化的关键. 虽然有效,但警报疲劳和工作流集成等挑战需要解决,以获得更好的患者结果.
科学领域:
- 医疗保健技术 技术 医疗保健 技术
- 患者安全 患者安全
- 可用性工程可用性工程
背景情况:
- 在非重症监护病房 (ICU) 中患者病情恶化的延迟识别会导致不良事件.
- 带有警报的连续监控设备有助于早期检测,但它们的可用性至关重要且未得到充分探索.
- 之前的审查集中在临床结果上,忽视了可用性方面,如有效性,效率和满意度.
研究的目的:
- 综合现有关于连续监控设备与恶化警报系统可用性的证据.
- 专注于非临界护理医院环境中的成年患者.
- 识别可用性因素,障碍物和需要改进的领域.
主要方法:
- 根据乔安娜·布里格斯研究所的方法,进行范围审查.
- 在主要数据库 (MEDLINE,Embase等) 中进行系统搜索. 在2024年11月之前.
- 纳入标准:监控设备的可用性,非ICU成人设置,初级数据,英语,警报报告.
主要成果:
- 包括来自1284篇论文的35项研究,主要是美国和荷兰外科病房的术后患者.
- 有效性 (71%) 和效率 (74%) 经常被研究;满意度 (46%) 和可用性障碍 (29%) 较少.
- 有限的混合方法研究和临床医师特征报告.
结论:
- 连续监控设备显示有潜力减少快速响应电话和ICU转移,节省时间.
- 可用性挑战包括技术问题,报警疲劳,患者不适以及工作流集成.
- 需要对临床医生的观点和各种医疗保健环境进行进一步的研究,以提高通用性和提高设备的可用性.
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