摘要
目的:基于指标构建心血管疾病护理质量控制系统并应用于临床,以期为各医院和行业提供数据支持和指导,促进心血管疾病护理质量持续改进。方法:应用兰德公司-美国加利福尼亚大学洛杉矶分校专家共识法构建心血管疾病护理质量控制指标体系,根据美国国家护理质量数据库敏感性指标的开发流程,选择部分医疗机构进行指标数据采集试点,在指标体系中筛选、确定敏感性和数据可得性较好的指标,并依此搭建心血管疾病护理质量控制指标填报信息系统,依托国家心血管病专家委员会护理专业委员会招募医疗机构进行指标的数据填报。结果:初步构建的心血管疾病护理质量控制指标体系包含18个指标,经过部分医疗机构试点后,最终确定了7个指标。共有来自全国各地区的28家医疗机构145个心血管疾病相关病区参与了数据填报工作。结论:构建的心血管疾病护理质量控制指标科学性好、可操作性强;信息系统的搭建为开展全国范围内的心血管疾病护理质量监测提供了可能性,信息系统可实现各机构数据的集成、分析、反馈和资源共享,为心血管疾病护理质量控制和提升提供了重要的支撑。
Objective:To establish a scientific and operable information system of the cardiovascular disease nursing quality control.Methods:Based on RAND-UCLA expert consensus method,the information system of the cardiovascular disease nursing quality control was established.According to the development process of NDNQI sensitivity index,some medical institutions were selected for pilot data collection.Indicators with better sensitivity and data availability were screened and determined from the index system and an information system was built based on these indicators.Medical institutions were recruited to use this information system through the Nursing Committee of the National Committee of Cardiovascular Experts.Results:The information system of the cardiovascular disease nursing quality control initially developed contained 18 indicators.While 7 indicators were finally left after the pilot data collection.A total of 145 cardiovascular diseaserelated wards from 28 medical institutions across the country participated in the data reporting by this information system.Conclusion:The information system of the cardiovascular disease nursing quality control established in this study is scientific and operable.This information system provides the possibility to carry out the national cardiovascular disease nursing quality monitoring.Through the integration,analysis and feedback,and resource sharing of data,the information system can provides important support for the quality control and improvement of cardiovascular disease nursing.
作者
闫琳
刘庚
刘周周
张辰
YAN Lin;LIU Geng;LIU Zhouzhou;ZHANG Chen(Department of Nursing,Fuwai Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,100037,China)
出处
《中国护理管理》
CSCD
北大核心
2024年第8期1209-1215,共7页
Chinese Nursing Management
基金
中国医学科学院阜外医院护理专项课题(HLZX2024001)
中国医学科学院阜外医院护理部专项科研基金(HLB2021001)
中国卫生人才培养项目护理研究子项目(2021-HLYJ-012)。
关键词
心血管疾病
护理质量
质量指标
信息系统
cardiovascular disease
nursing quality
quality index
information system
作者简介
第一作者:闫琳,硕士,副主任护师;通信作者:张辰,本科,主任护师,护理部主任,E-mail:zhizhizc@126.com。
