中国儿童镇静评估与管理系统（PSAMS）：儿童镇静的开发与实施报告。

Pediatric Sedation Assessment and Management System (PSAMS) for Pediatric Sedation in China: Development and Implementation Report.

作者信息

Zhu Ziyu, Liu Lan, Du Min, Ye Mao, Xu Ximing, Xu Ying

机构信息

Big Data Center for Children's Medical Care, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.

Department of Anesthesiology, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, 20 Jinyu Avenue, Liangjiang New Area, Chongqing, 400014, China, 86 13983409393.

出版信息

JMIR Med Inform. 2024 Aug 7;12:e53427. doi: 10.2196/53427.

DOI:10.2196/53427

PMID:39113391

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11322794/

Abstract

BACKGROUND

Recently, the growing demand for pediatric sedation services outside the operating room has imposed a heavy burden on pediatric centers in China. There is an urgent need to develop a novel system for improved sedation services.

OBJECTIVE

This study aimed to develop and implement a computerized system, the Pediatric Sedation Assessment and Management System (PSAMS), to streamline pediatric sedation services at a major children's hospital in Southwest China.

METHODS

PSAMS was designed to reflect the actual workflow of pediatric sedation. It consists of 3 main components: server-hosted software; client applications on tablets and computers; and specialized devices like gun-type scanners, desktop label printers, and pulse oximeters. With the participation of a multidisciplinary team, PSAMS was developed and refined during its application in the sedation process. This study analyzed data from the first 2 years after the system's deployment.

UNLABELLED

From January 2020 to December 2021, a total of 127,325 sedations were performed on 85,281 patients using the PSAMS database. Besides basic variables imported from Hospital Information Systems (HIS), the PSAMS database currently contains 33 additional variables that capture comprehensive information from presedation assessment to postprocedural recovery. The recorded data from PSAMS indicates a one-time sedation success rate of 97.1% (50,752/52,282) in 2020 and 97.5% (73,184/75,043) in 2021. The observed adverse events rate was 3.5% (95% CI 3.4%-3.7%) in 2020 and 2.8% (95% CI 2.7%-2.9%) in 2021.

CONCLUSIONS

PSAMS streamlined the entire sedation workflow, reduced the burden of data collection, and laid a foundation for future cooperation of multiple pediatric health care centers.

摘要

背景

近年来，中国手术室以外的儿科镇静服务需求不断增长，给儿科中心带来了沉重负担。迫切需要开发一种新的系统来改善镇静服务。

目的

本研究旨在开发并实施一个计算机化系统——儿科镇静评估与管理系统（PSAMS），以优化中国西南部一家大型儿童医院的儿科镇静服务。

方法

PSAMS的设计旨在反映儿科镇静的实际工作流程。它由三个主要部分组成：服务器托管软件；平板电脑和计算机上的客户端应用程序；以及枪式扫描仪、桌面标签打印机和脉搏血氧仪等专用设备。在多学科团队的参与下，PSAMS在镇静过程中的应用过程中得到了开发和完善。本研究分析了该系统部署后头两年的数据。

未标注

2020年1月至2021年12月，使用PSAMS数据库对85,281例患者进行了共计127,325次镇静。除了从医院信息系统（HIS）导入的基本变量外，PSAMS数据库目前还包含33个额外变量，这些变量可收集从镇静前评估到术后恢复的全面信息。PSAMS记录的数据显示，2020年一次性镇静成功率为97.1%（50,752/52,282），2021年为97.5%（73,184/75,043）。2020年观察到的不良事件发生率为3.5%（95%CI 3.4%-3.7%），2021年为2.8%（95%CI 2.7%-2.9%）。