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首页> 外文期刊>Journal of Nursing Education and Practice >Using the model for improvement and microsystems analysis methodological framework to examine variation in the pressure transducer management process
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Using the model for improvement and microsystems analysis methodological framework to examine variation in the pressure transducer management process

机译：使用改进模型和微系统分析方法框架来检查压力传感器管理过程中的变化

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Background: The pressure transducer is a device used commonly in the critical care areas of a hospital in order to monitor the hemodynamic stability of a patient, in particular the critically ill patient. Because pressure transducers are commonly used, and because of the importance of the monitoring associated with the device, the ability to effectively set up and manage a pressure transducer is important. As such, the process should be examined for consistency, accuracy, and safety. Unfortunately, based upon an appraisal of the current research, there is no evidence in the literature detailing a standardized process for managing the pressure transducer set-up, nor is there a specific recommendation regarding the type of provider who should establish and manage these systems. Methods: The microsystem analysis and model for improvement (MFI) three guiding questions were used as the methodological framework for determining the extent and organizational risk associated with process variation in the pressure transducer management workflow. In critically ill adult intensive care patients, aged 18 and above, how does variation in the type of provider (Registered Nurse versus Anesthesia Lab Personnel) and workflow process (workflow variation, provided by process flow) for managing pressure transducers impact patient outcomes (rates of infection), process efficiency (measured by staff time for transducer set up and process cost for supplies/equipment), and direct cost of hemodynamic monitoring in a 12-month timeframe? Results: Process variation in the set-up and management of the pressure transducer throughout the healthcare organization was identified through process and pattern analysis. The results of the analysis highlighted operational inefficiencies and un-necessary workflow variations. Conclusions: The set-up and management of the pressure transducer process within a healthcare organization is a workflow that should be standardized and reviewed for operational and clinical outcomes. From a broader perspective, this project highlights the importance of analyzing workflow and the importance of decreasing workflow variation.
机译：背景技术：压力传感器是在医院的重症监护区域中常用的一种设备，用于监测患者，特别是重症患者的血液动力学稳定性。由于通常使用压力传感器，并且由于与设备相关的监视的重要性，因此有效设置和管理压力传感器的能力非常重要。因此，应检查过程的一致性，准确性和安全性。不幸的是，基于对当前研究的评估，文献中没有证据详细说明用于管理压力传感器设置的标准化过程，也没有关于应该建立和管理这些系统的提供商类型的具体建议。方法：微系统分析和改进模型（MFI）三个指导性问题用作确定与压力传感器管理工作流程中的过程变化相关的程度和组织风险的方法框架。在18岁及以上的重症成人重症监护患者中，管理压力传感器的提供者类型（注册护士与麻醉实验室工作人员）的类型和工作流程（工作流程的变化，由流程提供）的变化如何影响患者的预后（比率）感染率），过程效率（由员工设置换能器的时间以及耗材/设备的过程成本来衡量）以及在12个月时间内进行血液动力学监测的直接成本？结果：通过过程和模式分析，可以确定整个医疗机构中压力传感器的设置和管理过程中的过程差异。分析结果突出显示了操作效率低下和不必要的工作流程变化。结论：医疗保健机构内压力传感器过程的设置和管理是一个工作流程，应对其进行标准化和审查，以获取操作和临床结果。从更广泛的角度来看，该项目强调了分析工作流的重要性以及减少工作流变化的重要性。

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