Department of Anesthesiology, The Geisel School of Medicine at Dartmouth, The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA.
Department of Anesthesiology, The Geisel School of Medicine at Dartmouth, Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA.
Crit Care Clin. 2018 Apr;34(2):189-198. doi: 10.1016/j.ccc.2017.12.001. Epub 2018 Jan 8.
The prevention of adverse events continues to be the focus of patient safety work. Although rapid response systems have improved the efferent limb of the patient's rescue, the detection of the patient's deterioration (the afferent limb) has not been solved. This article provides an overview of the complex issues surrounding patient surveillance by addressing the principal considerations of continuous monitoring as they relate to implementation, choice of sensors and physiologic variables, notification, and alarm balancing, as well as future research opportunities.
预防不良事件仍然是患者安全工作的重点。虽然快速反应系统已经改善了患者抢救的传出支，但患者病情恶化（传入支）的检测尚未解决。本文通过阐述连续监测的主要考虑因素，包括实施、传感器和生理变量的选择、通知以及报警平衡，以及未来的研究机会，概述了与患者监测相关的复杂问题。
