Egan Marie
Department of OR Administration, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
Crit Care Nurs Q. 2006 Oct-Dec;29(4):354-61. doi: 10.1097/00002727-200610000-00008.
There is a vast array of technical data that is continuously generated within the intensive care unit environment. In addition to physiological monitors, there is information being captured by the ventilator, intravenous infusion pumps, medication dispensing units, and even the patient's bed. The ability to retrieve and synchronize data is essential for both clinical documentation and real-time problem solving for individual patients and the intensive care unit population as a whole. Technical advances that permit the integration of all relevant data into a singular display or "dashboard" may improve staff efficiency, accelerate decisions, streamline workflow processes, and reduce oversights and errors in clinical practice. Critical care nurses must coordinate all aspects of care for one or more patients. Clinical data are constantly being retrieved, documented, analyzed, and communicated to others, all within the daily routine of nursing care. In addition, many bedside monitors and devices have alarms systems that must be evaluated throughout the workday, and actions taken on the basis of the patient's condition and other data. It is obvious that the complexity within such care processes presents many potential opportunities for overlooking important details. The capability to systematically and logically link physiological monitors and other selected data sets into a cohesive dashboard system holds tremendous promise for improving care quality, patient safety, and clinical outcomes in the intensive care unit.
在重症监护病房环境中持续产生着大量的技术数据。除了生理监测仪外，呼吸机、静脉输液泵、药物配给装置乃至患者的病床都在采集信息。检索和同步数据的能力对于临床记录以及针对个体患者和整个重症监护病房患者群体的实时问题解决而言至关重要。允许将所有相关数据整合到单个显示屏或“仪表板”中的技术进步可能会提高工作人员的效率、加快决策速度、简化工作流程，并减少临床实践中的疏忽和错误。重症护理护士必须协调一名或多名患者护理的各个方面。临床数据在护理日常工作中不断被检索、记录、分析并传达给其他人。此外，许多床边监测仪和设备都有警报系统，在整个工作日都必须对其进行评估，并根据患者状况和其他数据采取行动。显然，此类护理过程中的复杂性为忽略重要细节提供了许多潜在机会。将生理监测仪和其他选定数据集系统且逻辑地链接到一个连贯的仪表板系统的能力，对于提高重症监护病房的护理质量、患者安全和临床结果具有巨大潜力。
