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护士、传呼机与针对患者的标准:改进危急值报告的三个关键要素。

Nurses, pagers, and patient-specific criteria: three keys to improved critical value reporting.

作者信息

Tate K E, Gardner R M, Scherting K

机构信息

LDS Hospital, Salt Lake City, Utah, USA.

出版信息

Proc Annu Symp Comput Appl Med Care. 1995:164-8.

Abstract

At LDS Hospital, we have developed and evaluated a computerized critical value reporting system based on digital pagers. Criteria used to identify critical values are patient-specific. An evaluation of the system was conducted from October 23, 1993 to January 21, 1994. Results showed that 100% of all critical values (497 values in the form of 335 alerts) were reported to clinicians within an average of 38.6 minutes, and that 51% of all alerts were received within 12 minutes. Data also showed that 92% of the alerts were considered valid, that 76% were communicated directly to the primary care nurse, and that 67% of the time nurses were previously unaware of the critical value(s).

摘要

在LDS医院,我们开发并评估了一种基于数字传呼机的计算机化危急值报告系统。用于识别危急值的标准是针对患者的。该系统于1993年10月23日至1994年1月21日进行了评估。结果显示,所有危急值(497个值,以335次警报的形式)的100%平均在38.6分钟内报告给了临床医生,且所有警报的51%在12分钟内被接收。数据还显示,92%的警报被认为是有效的,76%直接传达给了初级护理护士,且67%的情况下护士之前并不知晓危急值。

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