■最近,手术室外对儿科镇静服务日益增长的需求给中国儿科中心带来了沉重负担.迫切需要开发一种用于改善镇静服务的新颖系统。
■本研究旨在开发和实施计算机化系统,儿科镇静评估和管理系统(PSAMS),简化中国西南地区一家大型儿童医院的儿科镇静服务。
■PSAMS旨在反映儿科镇静的实际工作流程。它由3个主要组件组成:服务器托管软件;平板电脑和计算机上的客户端应用程序;以及枪式扫描仪等专用设备,桌面标签打印机,和脉搏血氧计.在多学科小组的参与下,PSAMS在镇静过程中的应用得到了发展和完善。这项研究分析了系统部署后的头两年的数据。
■从2020年1月到2021年12月,使用PSAMS数据库对85,281名患者进行了总共127,325次镇静治疗。除了从医院信息系统(HIS)导入的基本变量之外,PSAMS数据库目前包含33个额外变量,这些变量可获取从压力评估到术后恢复的全面信息.PSAMS的记录数据表明,2020年的一次性镇静成功率为97.1%(50,752/52,282),2021年为97.5%(73,184/75,043)。2020年观察到的不良事件率为3.5%(95%CI3.4%-3.7%),2021年为2.8%(95%CI2.7%-2.9%)。
■PSAMS简化了整个镇静工作流程,减轻了数据收集的负担,为未来多个儿科保健中心的合作奠定了基础。
UNASSIGNED: Recently, the growing demand for pediatric sedation services outside the operating room has imposed a heavy burden on pediatric centers in China. There is an urgent need to develop a novel system for improved sedation services.
UNASSIGNED: This study aimed to develop and implement a computerized system, the Pediatric Sedation Assessment and Management System (PSAMS), to streamline pediatric sedation services at a major children\'s hospital in Southwest China.
UNASSIGNED: PSAMS was designed to reflect the actual workflow of pediatric sedation. It consists of 3 main components: server-hosted software; client applications on tablets and computers; and specialized devices like gun-type scanners, desktop label printers, and pulse oximeters. With the participation of a multidisciplinary team, PSAMS was developed and refined during its application in the sedation process. This study analyzed data from the first 2 years after the system\'s deployment.
UNASSIGNED: From January 2020 to December 2021, a total of 127,325 sedations were performed on 85,281 patients using the PSAMS database. Besides basic variables imported from Hospital Information Systems (HIS), the PSAMS database currently contains 33 additional variables that capture comprehensive information from presedation assessment to postprocedural recovery. The recorded data from PSAMS indicates a one-time sedation success rate of 97.1% (50,752/52,282) in 2020 and 97.5% (73,184/75,043) in 2021. The observed adverse events rate was 3.5% (95% CI 3.4%-3.7%) in 2020 and 2.8% (95% CI 2.7%-2.9%) in 2021.
UNASSIGNED: PSAMS streamlined the entire sedation workflow, reduced the burden of data collection, and laid a foundation for future cooperation of multiple pediatric health care centers.