警觉疲劳的经验及其在医院的促成因素:定性研究
Nicki Newton1, Adeola Bamgboje-Ayodele2, Rowena Forsyth3
1Digital Health Human Factors Group, Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Susan Wakil Health Building, Camperdown, Australia, 61 410440476.
Journal of medical Internet research
|February 19, 2026
概括
电子健康记录中的警报疲劳是一个复杂的问题,不是二进制的问题,受个人和系统因素的影响. 需要量身定制的干预措施来解决警觉疲劳问题,并提高患者的安全.
科学领域:
- 人类因素 人类因素
- 医疗信息学 医疗信息学
- 患者安全 患者安全
背景情况:
- 电子健康记录 (EHR) 系统旨在通过警报提高患者的安全性.
- 过度,非临床相关的警报有助于警报疲劳,这是一个日益严重的安全问题.
- 临床医生的经验和警觉疲劳的系统级因素仍未得到充分研究.
研究的目的:
- 使用人为因素方法探索初级医生与警觉疲劳的经验.
- 确定警觉疲劳对护理质量和安全的贡献因素和感知影响.
- 在临床实践中提出减轻警觉疲劳的策略.
主要方法:
- 对澳大利亚医院的20名初级医生进行了半结构化采访.
- 采用系统工程倡议为患者安全 (SEIPS) 和信息处理模型提供的专题分析.
- 在信息处理的不同阶段研究了警报疲劳.
主要成果:
- 警觉疲劳发生在信息处理阶段:检测,表面处理和认知努力.
- 错过的警报会影响患者的安全和护理质量;过度的认知负载会导致丧和时间损失.
- 这些因素涵盖SEIPS领域 (人,任务,环境,工具,组织),包括警报设计,临床相关性和信息过载.
结论:
- 警觉疲劳是一个连续性,受个人,技术和上下文因素的影响.
- 未来的研究应该结合自我报告和客观措施来评估警觉疲劳.
- 干预需要技术改进,组织变革和个体定制,以满足各种需求.
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