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麻醉医师对手术室即时护理信息系统需求的看法:欧洲麻醉医师协会的一项调查

Anaesthesiologists' views on the need for point-of-care information system in the operating room: a survey of the European Society of Anaesthesiologists.

作者信息

Perel A, Berkenstadt H, Ziv A, Katzenelson R, Aitkenhead A

机构信息

Department of Anaesthesiology and Intensive Care, Tel Aviv University, Sheba Medical Centre, Tel Hashomer, Israel.

出版信息

Eur J Anaesthesiol. 2004 Nov;21(11):898-901. doi: 10.1017/s0265021504000250.

Abstract

BACKGROUND AND OBJECTIVE

In this preliminary study we wanted to explore the attitudes of anaesthesiologists to a point-of-care information system in the operating room. The study was conducted as a preliminary step in the process of developing such a system by the European Society of Anaesthesiologists (ESA).

METHODS

A questionnaire was distributed to all 2240 attendees of the ESA's annual meeting in Gothenburg, Sweden, which took place in April 2001.

RESULTS

Of the 329 responders (response rate of 14.6%), 79% were qualified specialists with more than 10 yr of experience (68%), mostly from Western Europe. Most responders admitted to regularly experiencing lack of medical knowledge relating to real-time patient care at least once a month (74%) or at least once a week (46%), and 39% admitted to having made errors during anaesthesia due to lack of medical information that can be otherwise found in a handbook. The choice ofa less optimal but more familiar approach to patient management due to lack of knowledge was reported by 37%. Eighty-eight percent of responders believe that having a point-of-care information system for the anaesthesiologists in the operating room is either important or very important.

CONCLUSIONS

This preliminary survey demonstrates that lack of knowledge of anaesthesiologists may be a significant source of medical errors in the operating room, and suggests that a point-of-care information system for the anaesthesiologist may be of value.

摘要

背景与目的

在这项初步研究中,我们希望探究麻醉医生对手术室即时护理信息系统的态度。该研究是欧洲麻醉医师协会(ESA)开发此类系统过程中的初步步骤。

方法

向2001年4月在瑞典哥德堡举行的ESA年会的所有2240名与会者发放了问卷。

结果

在329名回复者中(回复率为14.6%),79%是有超过10年经验的合格专家(68%),大多来自西欧。大多数回复者承认至少每月(74%)或至少每周(46%)经常遇到与实时患者护理相关的医学知识不足的情况,39%承认因缺乏手册中能找到的医学信息而在麻醉期间犯过错误。37%的人报告说,由于知识不足,他们选择了不太理想但更熟悉的患者管理方法。88%的回复者认为为手术室的麻醉医生配备即时护理信息系统很重要或非常重要。

结论

这项初步调查表明,麻醉医生知识不足可能是手术室医疗差错的一个重要来源,并表明为麻醉医生配备即时护理信息系统可能有价值。

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