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Rapid sequence induction traceability in an ICU dedicated patient data management system: a multicentric retrospective study

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العنوان: Rapid sequence induction traceability in an ICU dedicated patient data management system: a multicentric retrospective study
المؤلفون: Adel Ben Salah, David Tran-Van, Philippe Goutorbe, Pierre-Yves Cordier, Jean-François Payen, Eric Peytel, René-Gilles Patrigeon, Arthur Lyochon, Charles-Edouard Luyt, Michel Slama, Julien Bordes, Salah Boussen, Philippe Crova, Erwan D'Aranda, Carole Schwebel, Julien Charpentier, Pierre-Julien Cungi, Eric Meaudre, Aguila Radjou, Anthony Lanceleur, Hervé Dupont, Mathieu Boutonnet, Gerald Choukroun, François Pessey, Edouard Martin
المساهمون: Intensive Care Unit, Laveran Military Teaching Hospital, Laboratoire de Biomécanique Appliquée (LBA UMR T24), Aix Marseille Université (AMU)-Université Gustave Eiffel, Intensive Care Unit, Sainte Anne Military Teaching Hospital, Hôpital d'Instruction des Armées Laveran, Service de Santé des Armées, Laboratoire de Biologie Appliquée (LBA), Commissariat à l'énergie atomique et aux énergies alternatives (CEA), Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux (IFSTTAR), Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux (IFSTTAR)-PRES Université Paris-Est, Hôpital de la Timone [CHU - APHM] (TIMONE), Hopital d'instruction des armées Sainte-Anne [Toulon] (HIA), The CRIT CRush Induction Traceability Study Group: Herve Dupont, Jean-François Payen, Aguila Radjou, Gerald Choukroun, Julien Charpentier, Philippe Crova, Carole Schwebel, Anthony Lanceleur, Michel Slama, Charles-Edouard Luyt, Mathieu Boutonnet, François Pessey, David Tran-Van, René-Gilles Patrigeon, Adel Ben Salah
المصدر: Journal of Critical Care
Journal of Critical Care, WB Saunders, 2019, 54, pp292-297. ⟨10.1016/j.jcrc.2019.08.021⟩
Journal of critical care
Journal of critical care, 2019, 54, pp292-297. ⟨10.1016/j.jcrc.2019.08.021⟩
Journal of Critical Care, 2019, 54, pp.292-297. ⟨10.1016/j.jcrc.2019.08.021⟩
سنة النشر: 2019
مصطلحات موضوعية: PATIENT DATA MANAGEMENT SYSTEM, Traceability, INFORMATION, medicine.medical_treatment, [SDV]Life Sciences [q-bio], COMPUTERIZED CRITICAL CARE INFORMATION SYSTEM, macromolecular substances, Critical Care and Intensive Care Medicine, COMPUTERIZED PHYSICIAN ORDER ENTRY, Medical Order Entry Systems, MEDECINE, 03 medical and health sciences, 0302 clinical medicine, Computerized physician order entry, Intensive care, TRACEABILITY, Surveys and Questionnaires, URGENCE, SANTE, Outcome Assessment, Health Care, Medicine, Humans, Rocuronium, Medical prescription, Rapid Sequence Induction and Intubation, Retrospective Studies, TRAITEMENT DES DONNEES, business.industry, technology, industry, and agriculture, 030208 emergency & critical care medicine, Retrospective cohort study, Rapid sequence induction, medicine.disease, 3. Good health, SYSTEME INFORMATIQUE, Intensive Care Units, 030228 respiratory system, INTENSIVE CARE UNIT, Management system, Medical emergency, France, SYSTEME D&apos, business, TRACABILITE, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology, medicine.drug
الوصف: International audience; Purpose: Patient data management systems (PDMS) are widely used in intensive care units (ICUs) to improve care traceability. Verbal orders are still used for prescriptions requiring immediate execution but should be subsequently recorded in the system. We assessed the rapid sequence induction (RSI) traceability for endotracheal intubation in an ICU dedicated PDMS.Materials and methods: A retrospective study was conducted on anonymous databases in 21 ICUs. Endotracheal tube insertions performed during one year were compared to the number of RSI registered in the PDMS.Results: We listed 5516 endotracheal tube insertions. A suxamethonium injection was registered in 829 cases and a rocuronium administration in 909 cases. The RSI traceability rate in the overall cohort was 31.5% and was greater in the units where nurses were allowed to record a drug administration before the computerized physician order entry.Conclusions: PDMS are supposed to improve prescription completeness and traceability, but our study suggests an opposite result. A co-responsibility policy between physicians and nurses should be promoted to improve care traceability. PDMS ergonomic improvements and enhanced integration in clinical workflow might also result in better compliance with documentation requirements. In each centre, indicators of PDMS correct use should be defined and periodically monitored.
تدمد: 1557-8615
0883-9441
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::dd5c44350d1ee867c5058cda80a5512f
https://pubmed.ncbi.nlm.nih.gov/31813461
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....dd5c44350d1ee867c5058cda80a5512f
قاعدة البيانات: OpenAIRE
الوصف
تدمد:15578615
08839441