PDCA视阈下护理质量管理信息系统的构建与应用被引量：42

Construction and application of information system of nursing quality management based on PDCA vision field

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摘要目的结合临床实际,设计并应用基于信息化的护理质量管理系统,加强护理信息化建设,提高护理质量控制效率。方法在医院原有护理信息平台基础上,以护理为主体自行设计、研发质量管理系统并应用于临床,护理部应用PDCA循环管理模式,制定护理单元质量考核评分标准,组建护理质控小组不定时检查并评分,各病房根据反馈的问题进行原因分析并提出整改措施。结果应用基于信息化的护理质量管理系统后,2016年7-12月的护理意外事件、压疮、跌倒/坠床、管路滑脱、给药错误、所有不良事件的发生率较2015年7-12月同比下降60.00%(0.03/0.05)、43.33%(0.13/0.30)、50.00%(0.04/0.08)、40.00%(0.04/0.10)、33.33%(0.01/0.03)、43.85%(0.25/0.57),2016年所有不良事件的发生率和2015年同期相比差异有统计学意义(χ^2=7.266,P<0.01);且护理问题有效整改率明显提高,与应用前相比,差异均有统计学意义(χ^2=-3.212^-2.637,P<0.01或0.05)。结论基于信息化的护理质量管理系统的设计与应用,实现了护理质量管理的信息化和资源共享,有助于持续改进护理质量,提高护理质量管理效能。 Objective To design and apply the nursing quality management system of our hospital in order to strengthen nursing informationization construction, and improve management efficiency of nursing quality. Methods Based on the original design of nursing management system, the quality management system which take nursing as the main part was researched and developed by us and applied to the clinical. Our nursing management department combined PDCA cycle with our nursing quality management, and developed nursing unit quality evaluation criteria, each ward were checked by evaluating group of nursing quality management, the analysis and corrective measures should be asked to put forward. Results From July to December in 2016, nursing accidents, pressure ulcer, tumbling, pipe slippage, medication, errors and all adverse events incidence compared with 2015 year dropped 60.00% (0.03/0.05), 43.33% (0.13/0.30), 50.00% (0.04/0.08), 40.00% (0.04/0.10), 33.33% (0.01/0.03),43.85% (0.25/0.57), and all adverse events in 2016 compared to the period of 2015 had statistically difference (χ^2=7.266, P<0.05), and the problem rectification rate was significantly higher than before(χ^2=-3.212--2.637, P<0.05). Conclusion The construction and application of nursing quality management system realized the informationization and resource sharing of nursing quality management, it will help the quality of management to upgrade continuously and improve the efficiency of nursing quality management.

作者李娟方茜卢维芬范皛杨静罗兰刘婧曾雯朱榕 Li Juan;Fang Qian;Lu Weifen;Fan Xiao;Yang Jing;Luo Lan;Liu Jing;Zen Wen;Zhu Rong(Nursing Department,Guizhou Provincial People's Hospital,Guiyang 550002,China;Nursing Department,Guiyang .First People's Hospital,Guiyang 550002,China;Emergency Department,Guizhou Provincial People's Hospital,Guiyang 550002,China;Operating Room,Guizhou Provincial People's Hospital,Guiyang 550002,China;Neurology Department,Guizhou Provincial People's Hospital,Guiyang 550002,China;Pediatric Surgery Department,Guizhou Provincial People's Hospital,Guiyang 550002, China)