实施一项新指南及开展教育活动以减少住院患者中低价值的持续脉搏血氧饱和度监测
Implementation of a New Guideline and Educational Sessions to Reduce Low-Value Continuous Pulse Oximetry Among Hospitalized Patients.
作者信息
Helgeson Scott A, Koop Andree H, Harrison Andrew M, Ray Jordan C, Shaughnessy Gaja F, Brett Christopher L, Cornell Lauren F, Bowman Cammi L, Burton M Caroline
机构信息
From the Departments of Internal Medicine, Medical Scientist Training Program, and Nursing Administration, Mayo Clinic, Jacksonville, Florida.
出版信息
South Med J. 2018 Feb;111(2):87-92. doi: 10.14423/SMJ.0000000000000766.
OBJECTIVES
The use of continuous pulse oximetry (CPOX) is ubiquitous among hospitalized patients, despite limited evidence that it improves clinical outcomes. The objective of this study was to reduce the use of CPOX among hospitalized patients in the nonintensive care unit and nonprogressive care unit settings.
METHODS
This interventional trial included the creation a new local guideline for CPOX use and subsequent staff education. CPOX use, patient acuity, hospital length of stay, and code blue events were measured before and after the intervention.
RESULTS
Postintervention there was a clinically significant and sustained decrease in CPOX use of 18% over 1 year. There were no significant changes postintervention in hospital length of stay or number of code blue events.
CONCLUSIONS
Development of a guideline for CPOX use and staff education successfully led to a decrease in CPOX use, without an increase in hospital length of stay or code blue events.
目的
尽管支持连续脉搏血氧饱和度监测（CPOX）能改善临床结局的证据有限，但在住院患者中其使用却很普遍。本研究的目的是减少非重症监护病房和非进阶护理病房住院患者的CPOX使用。
方法
这项干预性试验包括制定一项关于CPOX使用的新的本地指南并随后对工作人员进行教育。在干预前后测量CPOX使用情况、患者病情严重程度、住院时间和蓝色急救事件。
结果
干预后，1年内CPOX的使用在临床上显著且持续下降了18%。干预后住院时间或蓝色急救事件数量没有显著变化。
结论
制定CPOX使用指南并对工作人员进行教育成功导致了CPOX使用的减少，且未增加住院时间或蓝色急救事件。
Zotero 插件