Tourelle Kevin M, Fricke Jonas, Feißt Manuel, von der Forst Maik, Dietrich Maximilian, Gruneberg Daniel, Sander Julia, Schulz Philipp, Loos Martin, Bischoff Moritz S, Pursche Lars, Weigand Markus A, Schmitt Felix C F
Department of Anesthesiology, Medical Faculty Heidelberg, Heidelberg University, Heidelberg, DEU.
Institute of Medical Biometry and Informatics, Medical Faculty Heidelberg, Heidelberg University, Heidelberg, DEU.
Cureus. 2024 May 17;16(5):e60481. doi: 10.7759/cureus.60481. eCollection 2024 May.
Medical research aims to improve patient safety and efficiency in the perioperative setting. One critical aspect of patient safety is the intrahospital transfer of patients. Also, reliable monitoring of vital signs is crucial to support the medical staff. This study was conducted to assess two monitoring systems in terms of the handover time and staff satisfaction.
To assess several aspects, two monitoring systems were compared: an organizational unit-related monitoring system that needs to be changed and brought back to the initial organizational unit after the patient transfer and a patient-specific monitoring system that accompanies the patient during the whole perioperative process.
In total, 243 patients were included, and 375 transfers were examined to analyze economic factors, including differences in handover times and user-friendliness. To this end, 30 employees of the Heidelberg University Hospital were asked about their satisfaction with the two monitoring systems based on a systematic questionnaire. It could be shown that, especially during transfers from the operating theater to the intensive care unit or the recovery room, the time from arrival to fully centralized monitoring and the total handover time were significantly shorter with the patient-specific monitoring system (p < 0.001). Furthermore, the staff was more satisfied with the patient-specific monitor system in terms of flexibility, cleanability and usability.
The increased employee satisfaction and significant time benefits during intrahospital transports may increase patient safety and efficiency of patient care, reduce employee workload, and reduce costs in the overall context of patient care.
医学研究旨在提高围手术期患者的安全性和效率。患者安全的一个关键方面是患者在医院内的转运。此外，可靠的生命体征监测对于支持医护人员至关重要。本研究旨在评估两种监测系统在交接时间和工作人员满意度方面的情况。
为评估多个方面，对两种监测系统进行了比较：一种是与组织单位相关的监测系统，在患者转运后需要更改并带回初始组织单位；另一种是针对患者的监测系统，在整个围手术期过程中陪伴患者。
总共纳入了243例患者，并对375次转运进行了检查，以分析经济因素，包括交接时间差异和用户友好性。为此，基于一份系统问卷，询问了海德堡大学医院的30名员工对这两种监测系统的满意度。结果表明，特别是在从手术室转运至重症监护病房或恢复室期间，采用针对患者的监测系统时，从到达至完全集中监测的时间以及总交接时间显著更短（p < 0.001）。此外，工作人员在灵活性、可清洁性和可用性方面对针对患者的监测系统更为满意。
在医院内转运期间员工满意度提高以及显著的时间效益可能会提高患者安全和患者护理效率，减轻员工工作量，并在患者护理的整体背景下降低成本。
