目的:AtriAmp是一种新的医疗设备,使用临时心房起搏导线在遥测中显示连续的实时心房电描记图。我们的目标是评估该设备在患者护理中的早期采用,了解它如何影响临床工作流程,并确定不可预见的好处或限制。设计:定性研究使用半结构化访谈的归纳分析来确定主导主题设置:单中心,第三级,学术21张病床的混合儿科重症监护病房(PICU)主题:PICU多学科团队成员(儿科重症监护者,PICU护士从业人员,PICU护士和儿科心脏病学家)是AtriAmp的早期采用者(n=14)结果:对早期采用者的经验进行定性分析后,出现了三个突出的主题。(1)从心律失常事件到诊断的加速时间,治疗,和治疗有效性的确定;(2)提高提供者对心律失常诊断准确性的信心和安全性;(3)提高对提供者的术后心律失常的教育能力,其中依赖耗时的咨询是默认的。提供商还注意到该设备的一些学习曲线;这些都没有损害医疗或临床工作流程。结论:来自AtriAmp早期采用者的见解表明,PICU内的新技术需要简单性和保真度。需要在定性和观测领域进行进一步的研究,以了解技术如何,例如AtriAmp,在PICU环境中找到扩展用途。我们的研究表明,这些技术对于多学科团队的支持和发展至关重要。即使是那些不参与早期实施的人。
UNASSIGNED: AtriAmp is a new medical device that displays a continuous real-time atrial electrogram on telemetry using temporary atrial pacing leads. Our objective was to evaluate early adoption of this device into patient care, understand how it affected clinical workflow, and identify unforeseen benefits or limitations.
UNASSIGNED: Qualitative study using inductive analysis of semi-structured interviews to identify dominant themes.
UNASSIGNED: Single center, tertiary, academic 21-bed mixed pediatric intensive care unit (PICU).
UNASSIGNED: PICU multidisciplinary team members (Pediatric intensivists, PICU Nurse Practitioners, PICU nurses and Pediatric Cardiologists) who were early adopters of the AtriAmp (n=14).
UNASSIGNED: Three prominent themes emerged from qualitative analysis of the early adopters\' experiences. (1) Accelerated time from arrhythmia event to diagnosis, treatment, and determination of treatment effectiveness; (2) Increased confidence and security in the accuracy of providers\' arrhythmia diagnosis; and (3) Improvement in the ability to educate providers about post-operative arrythmias where reliance on time consuming consultation is a default. Providers also noted some learning curves with the device; none of which compromised medical care or clinical workflow.
UNASSIGNED: Insights from early adopters of AtriAmp signal the need for simplicity and fidelity in new technologies within the PICU. Further research in the qualitative and observational sphere is needed to understand how technologies, such as AtriAmp, find expanded use in the PICU environment. Our research suggests that such technologies can be pivotal to the support and growth of multi-disciplinary teams, even among those who do not participate in early implementation.