使用信息系统的实时警报和提醒。
Real-time alerts and reminders using information systems.
作者信息
Wanderer Jonathan P, Sandberg Warren S, Ehrenfeld Jesse M
机构信息
Massachusetts General Hospital, Boston, MA, USA.
出版信息
Anesthesiol Clin. 2011 Sep;29(3):389-96. doi: 10.1016/j.anclin.2011.05.003. Epub 2011 Jul 21.
Abstract
Adoption of information systems throughout the hospital environment has enabled the development of real-time physiologic alerts and clinician reminder systems. These clinical tools can be made available through the deployment of anesthesia information management systems (AIMS). Creating usable alert systems requires understanding of technical considerations. Various successful implementations are reviewed, encompassing cost reduction, improved revenue capture, timely antibiotic administration, and postoperative nausea and vomiting prophylaxis. Challenges to the widespread use of real-time alerts and reminders include AIMS adoption rates and the difficulty in choosing appropriate areas and approaches for information systems support.
摘要
在整个医院环境中采用信息系统，推动了实时生理警报和临床医生提醒系统的发展。这些临床工具可通过部署麻醉信息管理系统（AIMS）来提供。创建可用的警报系统需要了解技术方面的考虑因素。本文回顾了各种成功的实施案例，包括成本降低、收入获取改善、抗生素及时给药以及术后恶心和呕吐预防。实时警报和提醒广泛应用面临的挑战包括AIMS采用率，以及在选择信息系统支持的合适领域和方法方面存在的困难。
相似文献
1
Real-time alerts and reminders using information systems.
Anesthesiol Clin. 2011 Sep;29(3):389-96. doi: 10.1016/j.anclin.2011.05.003. Epub 2011 Jul 21.
2
Feedback mechanisms including real-time electronic alerts to achieve near 100% timely prophylactic antibiotic administration in surgical cases.
Anesth Analg. 2010 Nov;111(5):1293-300. doi: 10.1213/ANE.0b013e3181f46d89. Epub 2010 Sep 14.
3
Sharpening clinical decision support alert and reminder designs with MINDSPACE: A systematic review.
Int J Med Inform. 2024 Jan;181:105276. doi: 10.1016/j.ijmedinf.2023.105276. Epub 2023 Nov 2.
4
The impact of an electronic reminder on the use of alarms after separation from cardiopulmonary bypass.
Anesth Analg. 2009 Apr;108(4):1203-8. doi: 10.1213/ane.0b013e3181984ef9.
5
A systematic review of near real-time and point-of-care clinical decision support in anesthesia information management systems.
J Clin Monit Comput. 2017 Oct;31(5):885-894. doi: 10.1007/s10877-016-9921-x. Epub 2016 Aug 16.
6
Electronic reminders to improve timely antibiotic doses.
Anesth Analg. 2011 Nov;113(5):1284. doi: 10.1213/ANE.0b013e31822cf19d.
7
Decision support system combined with automated reminders for postoperative nausea and vomiting prophylaxis.
Br J Anaesth. 2012 Dec;109(6):1008-9; author reply 1009. doi: 10.1093/bja/aes409.
8
The impact of real-time clinical alerts on the compliance of anesthesia documentation: A retrospective observational study.
Comput Methods Programs Biomed. 2020 Jul;191:105399. doi: 10.1016/j.cmpb.2020.105399. Epub 2020 Feb 28.
9
Alert dwell time: introduction of a measure to evaluate interruptive clinical decision support alerts.
J Am Med Inform Assoc. 2016 Apr;23(e1):e138-41. doi: 10.1093/jamia/ocv144. Epub 2015 Oct 24.
10
A systematic review of the effectiveness of interruptive medication prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient safety.
Int J Med Inform. 2017 Sep;105:22-30. doi: 10.1016/j.ijmedinf.2017.05.011. Epub 2017 May 27.
引用本文的文献
1
SAP BusinessObjects in Medical Informatics.
Cureus. 2023 Jun 10;15(6):e40208. doi: 10.7759/cureus.40208. eCollection 2023 Jun.
2
The Impact of an Intraoperative Clinical Decision Support Tool to Optimize Perioperative Glycemic Management.
J Med Syst. 2020 Aug 21;44(10):175. doi: 10.1007/s10916-020-01643-1.
3
The impact of real-time clinical alerts on the compliance of anesthesia documentation: A retrospective observational study.
Comput Methods Programs Biomed. 2020 Jul;191:105399. doi: 10.1016/j.cmpb.2020.105399. Epub 2020 Feb 28.
4
Standardised electronic algorithms for monitoring prophylaxis of postoperative nausea and vomiting.
Arch Med Sci. 2019 Mar;15(2):408-415. doi: 10.5114/aoms.2019.83293. Epub 2019 Mar 4.
5
Design and Evaluation of a Real Time Physiological Signals Acquisition System Implemented in Multi-Operating Rooms for Anesthesia.
J Med Syst. 2018 Jun 30;42(8):148. doi: 10.1007/s10916-018-0999-1.
6
Will Real-Time Monitoring Technology be a Game Changer for Perfusion Safety?
J Extra Corpor Technol. 2017 Jun;49(2):P19-P24.
7
Development and Feasibility of a Real-Time Clinical Decision Support System for Traumatic Brain Injury Anesthesia Care.
Appl Clin Inform. 2017 Jan 25;8(1):80-96. doi: 10.4338/ACI-2016-10-RA-0164.
8
A single center observational study on emergency department clinician non-adherence to clinical practice guidelines for treatment of uncomplicated urinary tract infections.
BMC Infect Dis. 2016 Nov 4;16(1):638. doi: 10.1186/s12879-016-1972-6.
9
A systematic review of near real-time and point-of-care clinical decision support in anesthesia information management systems.
J Clin Monit Comput. 2017 Oct;31(5):885-894. doi: 10.1007/s10877-016-9921-x. Epub 2016 Aug 16.
10
Racial differences in acute kidney injury of hospitalized adults with diabetes.
J Diabetes Complications. 2016 Aug;30(6):1129-36. doi: 10.1016/j.jdiacomp.2016.03.031. Epub 2016 Apr 2.
本文引用的文献
1
Monitoring with head-mounted displays: performance and safety in a full-scale simulator and part-task trainer.
Anesth Analg. 2009 Oct;109(4):1135-46. doi: 10.1213/ANE.0b013e3181b5a200.
2
The impact of an electronic reminder on the use of alarms after separation from cardiopulmonary bypass.
Anesth Analg. 2009 Apr;108(4):1203-8. doi: 10.1213/ane.0b013e3181984ef9.
3
Implications of event entry latency on anesthesia information management decision support systems.
Anesth Analg. 2009 Mar;108(3):941-7. doi: 10.1213/ane.0b013e3181949ae6.
4
The value proposition of anesthesia information management systems.
Anesthesiol Clin. 2008 Dec;26(4):665-79, vi. doi: 10.1016/j.anclin.2008.07.007.
5
Anesthesia information management system implementation: a practical guide.
Anesth Analg. 2008 Nov;107(5):1598-608. doi: 10.1213/ane.0b013e318187bc8f.
6
Adoption of anesthesia information management systems by academic departments in the United States.
Anesth Analg. 2008 Oct;107(4):1323-9. doi: 10.1213/ane.0b013e31818322d2.
7
Decision support increases guideline adherence for prescribing postoperative nausea and vomiting prophylaxis.
Anesth Analg. 2008 Mar;106(3):893-8, table of contents. doi: 10.1213/ane.0b013e31816194fb.
8
A new paradigm for the design of audible alarms that convey urgency information.
J Clin Monit Comput. 2007 Dec;21(6):353-63. doi: 10.1007/s10877-007-9096-6. Epub 2007 Nov 1.
9
The effect of an interactive visual reminder in an anesthesia information management system on timeliness of prophylactic antibiotic administration.
Anesth Analg. 2007 Jun;104(6):1462-6, table of contents. doi: 10.1213/01.ane.0000263043.56372.5f.
10
Electronic reminders improve procedure documentation compliance and professional fee reimbursement.
Anesth Analg. 2007 Mar;104(3):592-7. doi: 10.1213/01.ane.0000255707.98268.96.
Zotero 插件