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護理雜誌 MEDLINEScopus

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篇名 利用資訊系統優化急診部ACLS流程
卷期 65:4
並列篇名 Using an Information System to Optimize the ACLS Process at the Emergency Department
作者 賴佩芳吳彬安
頁次 024-029
關鍵字 心臟停止高級心肺復甦術資訊系統急救品質cardiac arrestadvanced cardiac life support information systemresuscitation qualityMEDLINEScopusTSCI
出刊日期 201808
DOI 10.6224/JN.201808_65(4).05

中文摘要

美國心臟協會(American Heart Association, AHA) 在2015發表更新的高級心肺復甦術(advanced cardiac life support, ACLS)照護準則,強調團隊 急救概念,不但要有標準動作,成員更要熟悉 在急救中不同的角色並互相合作。然而實際運用 ACLS時,容易因為緊張及不熟悉流程而事倍功 半,不過ACLS並不是一套複雜的內容,不會 因為不同原因的心跳停止而必須採取不同急救流 程,因此本文運用資訊系統輔助醫護團隊完全正 確執行ACLS流程,將固定頻率的動作交給資訊 系統去運作,醫護團隊可以更專心及精準的執行 急救動作,不會受到記憶誤差之影響,醫護團隊 可以在資訊科技協助下完成急救。資訊系統根據 ACLS流程執行計時、提示及指導,並將急救中 需要運用之程序(壓胸、建立靜脈途徑、置入氣 管內管、電擊、藥物種類及劑量),以點擊方式 記錄,檔案上傳後同時完成醫護病歷作業。醫護 同仁正確使用此資訊系統,不但能協助高級心肺 復甦術之執行,減輕醫護同仁臨床和書寫病歷之 負擔,更能確實提升急救照護品質。

英文摘要

The best first-aid treatment for cardiac arrest patients is advanced cardiac life support (ACLS) in terms both of saving lives and of reducing the incidence of sequelae. The American Heart Association (AHA) published updated ACLS guidelines for care in 2015. These updated guidelines emphasized the importance of teamwork in resuscitation, noting that, in addition to standard procedures, team members should be familiar with their distinct roles and should cooperate together during emergent situations. Implementing ACLS is not easy due to stress and unfamiliarity with the process and thus often achieves less-than-optimal results in practice. However, ACLS is a standard approach that uses the same procedures to address different cardiac arrest situations. Therefore, we wanted to use an information system to assist the medical team to fully implement the ACLS process. The information system helps the medical team perform resuscitation actions more intensively and precisely while avoiding problems and mistakes due to forgetfulness / unfamiliarity, facilitating an optimal resuscitation effort. Concurrently, electronic medical and nursing records are completed automatically, avoiding the need for medical staff to compile these records afterwards. This information system helps save time and effort and improves precision. Furthermore, data analysis is more convenient, which facilitates the effective management and supervision of resuscitation quality. The information system performs timing, prompting, and guidance in accordance with the ACLS process and records the procedures that will used in emergency treatment (i.e., chest compression frequency, establishment of intravenous route, placement of endotracheal tubes, electric shock, drug type, dose) with a simple click of a mouse. Finally, the associated medical record is completed and logged as soon as the automatically generated file is uploaded. All hospital staffs may use this information system to assist in the implementation of advanced CPR. The system improves the quality of the first aid measures applied in life support, reduces the burden on clinics and medical staff, and streamlines the preparation and submission of medical records.

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