[1]陆瑶 史婷奇 程建平 孙玉娇 王丹若 张秋香.护理临床决策支持系统研发与应用[J].中国卫生质量管理,2020,27(05):098-102.
　LU Yao,SHI Tingqi,CHENG Jianping,et al.Development and Application of Nursing Clinical Decision Support System[J].Chinese Health Quality Management,2020,27(05):098-102.
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护理临床决策支持系统研发与应用
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第27卷
期数:
2020年05期
页码:
098-102
栏目:
QC小组平台
出版日期:
2020-09-28

文章信息/Info

Title:
Development and Application of Nursing Clinical Decision Support System
作者:
陆瑶 史婷奇 程建平 孙玉娇 王丹若 张秋香
南京大学医学院附属鼓楼医院
Author(s):
LU Yao; SHI Tingqi; CHENG Jianping; et al
Firstauthor's addressNanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School
关键词:
临床决策支持系统; 护理临床决策支持系统; 护理质量; 患者安全; 品管圈
Keywords:
Clinical Decision Support System; Nursing Clinical Decision Support System; Quality of Care; Patient Safety; Quality Control Circle
分类号:
R197.323；R47
文献标志码:
B
摘要:
针对护理临床决策支持系统的研发与应用开展品管圈活动，护理人员全程参与系统的设计、测试、上线培训、应用效果评价等。一方面，护理临床决策支持系统实现了10个智能化功能，如智能诊断、智能采集等；另一方面，系统上线后，全年护理不良事件发生率由0.49‰下降至0.19‰，护理病历质控问题发生率由34例/季度降至12例/季度，护理文书结构化率由48%提升至96%，全院护理文书书写总时间由302小时/天下降至139小时/天，护理病历质控时间由15分钟/份缩短为6分钟/份，血糖监测单位时间由670秒/次缩短为282秒/次。系统应用提升了护理质量和工作效率，值得推广
Abstract:
Using the research-oriented quality control circle approach, activities were taken on the development and application of nursing clinical decision support system.The nursing staff participated in the whole system design, testing, online training, application effect evaluation.The nursing clinical decision support system realized 10 intelligent functions, such as intelligent diagnosis and intelligent collection.Furthermore, after launch of the system, the incidence of nursing adverse events throughout the year dropped from 0.49 ‰ to 0.19 ‰, the incidence of nursing records quality control problem fell from 34 cases per quarter to 12 cases per quarter, nursing documents structured rate increased from 48% to 96%, and partial nursing documents writing time from 302 hours/day dropped to 139 hours/days, nursing medical records quality control reduced from 15 minutes to 6 minutes per copy, blood sugar monitoring unit time shortened from 670 to 282 seconds per time.The application of the system improved the quality of nursing care and work efficiency, which was worthy of promotion

参考文献/References:

［1］董建成.医学信息学概论［M］.北京：人民卫生出版社，2010：260.

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更新日期/Last Update: 2020-09-28