摘要
目的通过设计并应用引流管闭环执行系统，将其全过程数据从临床护理信息系统中提取，进行全流程节点的数据跟踪及质量管理。方法2015年10月至2017年2月临床应用期间，引流管闭环数据总数117625条，从引流管的置入到拔管可以进行全程追踪，统一了引流管的名称，引流管置管天数的统计由人工改为信息化，节约护理人员的时间，提高了管道统计的准确性；采用李克特5级量表，设计微信问卷，调查护士对引流管闭环执行系统的满意度。结果引流管闭环执行系统应用后，原来护士人工统计人均每日花10min降至现在电脑自动抓取；实施后护士认为引流管评估单更省时总体满意度为（4．32±0．99）分；非计划拔管患者申报流程更便捷总体满意度为（4．22±0．80）分；该系统应用更简易、管理更实效总体满意度分别为（4．35±0．73）、（4．35±0．74）分；实施前交接时间为（7．85±5．10）min，实施后为（4．53±3．98）min，实施前后比较差异有统计学意义（t=5．68，P〈0．05）；引流管颜色条数为（309.3±204．8）条，性状条数为（3020±1097）条。结论引流管闭环执行系统的建立和发展为临床医疗的决策诊断提供可靠的事实依据，提高了员工的满意度和患者的安全；同时将临床中的术语进行归类，引流管的颜色和性状描述已趋向集中、统一；基于流程管理的质量管理体系总体有效。
Objective Through the design and application of the closed-loop drainage system, the whole process data is extracted from the clinical nursing information system, and the data tracking and quality management of the whole process node are carried out. Methods From October 2015 to February 2017, during the clinical application, the total number of drainage tube closed-loop data was 117 625, the whole process from the drainage tube placement to extubation could be traced, unified the name of drainage tube, statistics days by artificial to information, saved the time of nursing staff, improved the accuracy of channel statistics. The WeChat questionnaire was designed to investigate the satisfaction of nurses on the closed-loop executive system of drainage tube by using the Likert five scale. Results After improvement, saved the time for nursing staff, nurses from the original manual statistics, per capita spent 10 minutes a day to now the computer automatically crawl. After the implementation, nurses thought that the drainage tube assessment more effective overall satisfaction for （4.32±0.99） points; unplanned extubation of patients reporting process more convenient overall satisfaction for （4.22± 0.80） points; application of the system more simple and more effective management overall satisfaction respectively for （4.35±0.73）, （4.35±0.74） points. The transfer time was （7.85±5.10） minutes before the implementation and （4.53±3.98） rain after the implementation,there was significant difference（t=5.68, P〈0.05）. The color of drainage tube number was 309.3±204.8, the number of characters was 3020±1 097. Conclusions The establishment and development of drainage tube closed-loop execution system provide a reliable factual basis for clinical medical diagnosis decision; at the same time, the clinical term in classified, the description of the color and character of the drainage-tube has tended to be centralized and unified; improve the work efficiency and patient safety; the quality management system based on process management is generally effective.
作者
蒋燕
潘红英
黄晨
Jiang Yan;Pan Hongying;Huang Chen(Department of Nursing, Sir Run Run Shaw Hospital Affiliated Zhejiang University School of Medicine, Hangzhou 310006, China)
出处
《中国实用护理杂志》
2018年第16期1201-1206,共6页
Chinese Journal of Practical Nursing
基金
浙江省医药卫生平台计划（2016ZDA011）
关键词
临床护理信息系统
引流管闭环执行系统
安全管理
Clinical nursing information system
Closed-loop execution system of drainage-tube
Safety management
