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管理远程监测设备诊所面临的挑战。

Challenges in managing a remote monitoring device clinic.

作者信息

Harvey Margaret, Seiler Amber

机构信息

Department of Acute and Tertiary Care, University of Tennessee Health Science Center, College of Nursing, Memphis, Tennessee.

Cone Health, Greensboro, North Carolina.

出版信息

Heart Rhythm O2. 2022 Feb 18;3(1):3-7. doi: 10.1016/j.hroo.2021.12.002. eCollection 2022 Feb.

Abstract

BACKGROUND

Recent advances in remote cardiac monitoring technology have created new challenges for clinicians and staff working in device clinics who are left processing large volumes of data. Often, this process is fractured and inefficient, with occurrence of unnecessary alerts that strain staff time and resources.

OBJECTIVE

The purpose of this survey was to identify challenges allied health professional clinicians and staff encounter when managing a remote monitoring device clinic.

METHODS

A 27-item mixed methods survey was developed using a Qualtrics-encrypted, anonymous Web survey tool. Demographic information and questions rating satisfaction level for remote device clinic issues were obtained using a 5-point Likert scale. Three open-ended questions were included that addressed challenges and successes in managing a remote monitoring clinic and served as a method for identifying common themes.

RESULTS

Major themes identified were poor connectivity, staffing issues, and large volume of alerts. Approximately 50% of respondents were either satisfied or unsatisfied with issues surrounding managing remote monitoring device clinics. Strategies for success included optimizing alerts, assigning designated staff, and partnering with third-party platforms.

CONCLUSION

This survey confirms these issues as an opportunity for industry and digital health leaders to determine best practices for incorporating these technologies into patient care.

摘要

背景

远程心脏监测技术的最新进展给设备诊所的临床医生和工作人员带来了新挑战,他们需要处理大量数据。通常,这个过程是分散且低效的,会出现不必要的警报,耗费工作人员的时间和资源。

目的

本次调查的目的是确定联合健康专业临床医生和工作人员在管理远程监测设备诊所时遇到的挑战。

方法

使用Qualtrics加密的匿名网络调查工具开发了一项包含27个项目的混合方法调查。使用5点李克特量表获取人口统计学信息以及对远程设备诊所问题的满意度评分问题。包含三个开放式问题,涉及管理远程监测诊所的挑战和成功经验,并作为识别共同主题的一种方法。

结果

确定的主要主题是连接性差、人员配备问题和大量警报。大约50%的受访者对管理远程监测设备诊所的相关问题感到满意或不满意。成功策略包括优化警报、指定专人负责以及与第三方平台合作。

结论

本次调查证实,这些问题为行业和数字健康领导者提供了一个机会,以确定将这些技术纳入患者护理的最佳实践。

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