脓毒症警报系统的开发与实施
Development and Implementation of Sepsis Alert Systems.
作者信息
Harrison Andrew M, Gajic Ognjen, Pickering Brian W, Herasevich Vitaly
机构信息
Medical Scientist Training Program, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Division of Pulmonology and Critical Care Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
出版信息
Clin Chest Med. 2016 Jun;37(2):219-29. doi: 10.1016/j.ccm.2016.01.004. Epub 2016 Feb 20.
Abstract
Development and implementation of sepsis alert systems is challenging, particularly outside the monitored intensive care unit (ICU) setting. Barriers to wider use of sepsis alerts include evolving clinical definitions of sepsis, information overload, and alert fatigue, due to suboptimal alert performance. Outside the ICU, barriers include differences in health care delivery models, charting behaviors, and availability of electronic data. Current evidence does not support routine use of sepsis alert systems in clinical practice. Continuous improvement in the afferent and efferent aspects will help translate theoretic advantages into measurable patient benefit.
摘要
脓毒症警报系统的开发和实施具有挑战性，尤其是在监测重症监护病房（ICU）环境之外。脓毒症警报更广泛应用的障碍包括脓毒症不断演变的临床定义、信息过载以及由于警报性能欠佳导致的警报疲劳。在ICU之外，障碍包括医疗服务提供模式、图表记录行为以及电子数据可用性方面的差异。目前的证据不支持在临床实践中常规使用脓毒症警报系统。在传入和传出方面持续改进将有助于把理论上的优势转化为可衡量的患者受益。
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