多参数心电监护仪报警管理审查指标及障碍因素分析  

Analysis of multi-parameter ECG monitor alarm management review indicators and obstacle factors

作　　者：刘文艳 朱欢欢[1] LIU Wenyan;ZHU Huanhuan(Department of Geriatrics,Drum Tower Hospital Affiliated to Nanjing University Medical School,Nanjing,Jiangsu 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院老年医学科,江苏南京210008

出　　处：《现代医药卫生》2024年第3期427-431,435,共6页Journal of Modern Medicine & Health

基　　金：南京大学医院管理研究所管理项目(NDYG2019019)。

摘　　要：目的 全面评估《多参数监护仪临床警报管理实践指南(2020版)》在临床的应用现状,制订护理审查指标,分析障碍及促进因素,为临床拟定对策提供依据。方法 2022年4-5月依据《多参数监护仪临床警报管理实践指南(2020版)》中的推荐意见制订审查指标及审查方法,进行质量审查,根据基线审查结果,进行障碍及促进因素分析,并拟定相应对策。结果 共制订29条审查指标进行质量审查,其中仅1条指标依从率为100%,10条指标依从率低于60%。对审查结果逐条分析后得出主要障碍因素为医院未制定相关规章制度、护士缺乏专业培训、无相关技术支持、设备资金缺乏;主要促进因素为医院制定相关规章制度、加大心电监护仪管理的培训力度、做好科室相关经费预算。结论 实践指南难以直接被科学、有效地用于临床,对指南在临床运用中的障碍与促进因素进行动态、全面、科学的评估并制定有针对性的干预策略是促进指南应用、提高护理质量的有效措施。Objective To comprehensively evaluate the clinical application status of the Practice Guide for Clinical Alarm Management of Multi-parameter Monitors(2020 edition),formulate nursing review indicators,analyze obstacles and promoting factors,and provide a basis for clinical formulation of countermeasures.Methods From April to May 2022,review indicators and review methods were formulated according to the recommendations in the Practice Guide for Clinical Alarm Management of Multi-Parameter Monitors(2020 edition),quality review was conducted,obstacles and contributing factors were analyzed according to the baseline review results,and corresponding countermeasures were drawn up.Results A total of 29 review indicators were developed for quality review,of which only one indicator had a compliance rate of 100%and 10 indicators had a compliance rate of less than 60%.After analyzing the review results one by one,the main obstacle factors were that the hospital did not formulate relevant rules and regulations,nurses lacked professional training,no relevant technical support,and lack of equipment funds.The main promoting factors were to formulate relevant rules and regulations,increase the training of ECG monitor management,and make relevant budget of departments.Conclusion Practice guidelines are difficult to be directly used in clinical practice scientifically and effectively.Dynamic,comprehensive and scientific evaluation of obstacles and promoting factors in clinical application of guidelines and formulation of targeted intervention strategies are effective measures to promote the application of guidelines and improve nursing quality.

关 键 词：多参数心电监护仪 报警管理 审查指标 质量审查 障碍因素 促进因素 

分 类 号：R473.5[医药卫生—护理学]