전자의무기록 팝업차트를 활용한 CRRT 관리의 질향상 활동

고수령; 이안나; 김기표; 진호준; 나기영; 채동완; 김세중

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자료유형: 학술저널

저자정보: 고수령 (분당서울대학교병원 신장내과) 이안나 (분당서울대학교병원 신장내과) 김기표 (분당서울대학교병원 신장내과) 진호준 (분당서울대학교병원 신장내과) 나기영 (분당서울대학교병원 신장내과) 채동완 (분당서울대학교병원 신장내과) 김세중 (분당서울대학교병원 신장내과)

저널정보: 한국의료질향상학회 한국의료질향상학회지 한국의료질향상학회지 제25권 제1호

발행연도: 2019.1

수록면: 43 - 51 (9page)

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연구배경

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연구방법

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연구결과

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Purpose: The time lag between the decision to initiate continuous renal replacement therapy (CRRT) and its actual initiation remains a major barrier in our intensive care units. We developed a CRRT pop-up chart on EMR for managing CRRT machines. Methods: This study measured time interval between the decision to prepare the CRRT machine and the actual use of the machine before and after using a CRRT pop-up chart. This study conducted a questionnaire of the medical staff to assess the changes in the quality of CRRT preparation. Results: A total of 95 patients on CRRT is analyzed. The time to find an available CRRT machine is decreased by 24.6%. The time to move a CRRT machine to the patient's bedside is decreased by 55.8%. Medical surveys of 44 nurses gave the following results. 1) The time to apprehend machines for 1 to 3 minutes is improved from 29.5% to 81.8%, and the time to apprehend machines over 3 minutes is decreased from 70.5% to 18.2%. 2) The number (6-all) of known machine locations is improved from 22.7% to 63.4%. 3) Interruption of a nurse's work due to telephone calls asking for the possession of movable CRRT equipment also is improved. Scores of 1-4 are improved from 15.9% to 41%. Scores of 5-7 are reduced from 52% to 15.9%. Conclusions: CRRT pop-up chart is shortened the time lag of CRRT machine preparation, reduced the nurse's phone workload and helped to improve the quality of CRRT care.

#Continuous renal replacement therapy #Electronic medical records #Pop-up chart

참고문헌 (11)

참고문헌 신청

Heung M / 2017 / CRRT net : a prospective, multi-national, observational study of continuous renal replacement therapy practices / BMC Nephrology 18(1):222

Rewa O / 2015 / Quality indicators in continuous renal replacement therapy(CRRT)care in critically ill patients : protocol for a systematic review / Systematic reviews 30(4):102

기윤경 / 2015 / The Effect of Specialized Continuous Renal Replacement Therapy Team in Acute Kidney Injury Patients Treatment / Yonsei Medical Journal 56(3):658~665

Walcher A / 2011 / In critically ill patients requiring CRRT, AKI is associated with increased respiratory failure and death versus ESRD / Renal Failure 33(10):935~942

Gilbert RW / 2002 / Development of a continuous renal replacement program in critically ill patients / American Journal of Surgery 184(6):526~532

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