住院病人病情恶化的评估和预警信号

Badriah Y. Qawfashi, Layla S. Darraj, Abeer M. Haltani, Somaiah Y. Moaafa, Khaled A. Alshahrani, Aeshah B. Masmali, Samira S. Aljohani, Naif A. Alhujili, Bandar S. Alzahrani, Refah F. Aloslub
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引用次数: 0

摘要

高效的评估方法和早期预警系统对于预防心跳骤停、意外转入重症监护室(ICU)甚至死亡等事件至关重要。本综述深入探讨了评估和处理入院病人病情恶化预警指标的各个方面。主要重点在于通过观察和跟踪心率、血压、呼吸频率、体温和血氧饱和度等指标来识别任何病情恶化的迹象。标准化评估,如改良早期预警评分(MEWS),在评估病人病情严重程度方面发挥了作用,而快速反应小组(RRT)则提供跨学科干预。个性化护理计划、量身定制的药物管理和纳入支持措施是一种突出的方法。不断对患者进行重新评估并为医护人员提供教育,突出了患者护理的本质。尽管技术进步使实时监控成为可能,但警报疲劳等挑战以及对员工进行持续培训的需求依然存在。本综述的结论是,将专业知识标准化评估与技术支持相结合的综合策略对于管理病情恶化的早期预警信号至关重要,最终可提高医院环境中患者的治疗效果。
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Assessment and early warning signs of deterioration in hospitalized patients
Efficient assessment methods and early warning systems are crucial to prevent events like arrest, unexpected transfers to the intensive care unit (ICU) or even death. This in-depth review delves into the aspects of evaluating and handling early warning indicators of deterioration among patients admitted to hospitals. The primary emphasis lies in identifying any signs of decline by observing and tracking indicators, like heart rate, blood pressure, respiratory rate, body temperature and oxygen saturation. Standardized assessments like the modified early warning score (MEWS) play a role in assessing the seriousness of a patient’s condition while rapid response teams (RRTs) provide interdisciplinary interventions. Personalized care plans, customized medication management and the inclusion of support highlight an approach. Continuously reevaluating patients and providing education for healthcare professionals underscores the nature of patient care. Despite advancements in technology that enable real time monitoring challenges such as alarm fatigue and the need for consistent staff training persist. This review concludes that a comprehensive strategy combining expertise standardized assessments and technological support is vital for managing early warning signs of deterioration to ultimately enhance patient outcomes in hospital environments.
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