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——夏冬云 陈雁 王清 许玲 陈璐
【摘要】目的 探索“互联网+护理服务”安全管理模式，分析其实践效果。方法 通过构建组织架构、制定制度和流程、确定运行模式、研发信息平台、建立风险评估机制、提供安全保障、建立考核评价体系，保障护患安全。结果 2019年8月-2020年6月“互联网+护理服务”开展过程中未发生护理不良事件，患者总体满意度为（4.89±0.72）分(满分5分)，护士认为“互联网+护理服务”安全管理模式具有安全性和可靠性。结论 “互联网+护理服务”安全管理模式运行有效，保障了护理质量和安全，但仍需创新发展。
【关键词】互联网+；护理服务；安全管理；护理质量
中图分类号：R47文献标识码：B
Practice of Safety Management Mode of "Internet Plus Nursing Service"/XIA Dongyun,CHEN Yan,WANG Qing,et al.//Chinese Health Quality Management，2021,28(2):50-53
Abstract Objective To explore the nursing safety management model of "Internet plus nursing service" and analyze practice effect.Methods To ensure nurse-patient safety, it was necessary to establish organizational structure, formulate systems and procedures, determine operation mode, research and development information platform, establish risk assessment mechanism, provide security guarantee and establish assessment and evaluation system. Results There was no nursing adverse event during the implement of "Internet plus nursing service" from August 2019 to June 2020. The overall score of patient satisfaction was 4.89±0.72 (the full score was 5). Nurses believed that the "Internet plus nursing service" safety management mode was safe and reliable.Conclusion The safety management mode of "Internet plus nursing service" is effective and it can guarantee the high quality and safety of nursing, but innovation is still needed.
Key words Internet Plus Nursing Services Safety ManagementNursing Quality
Firstauthors address Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu, 210008, China
近年来，“互联网＋”为护理事业的发展带来了新机遇，借助互联网平台和信息通信技术，将互联网与护理行业创新融合，护士在疾病管理、延续护理、护理风险评估等方面为慢性病和失能患者提供了便捷高效的护理服务，提高了医疗护理资源的利用效率，提升了患者就医体验［1-2］。但我国“互联网+护理服务”的制度和管理体系还不够完善，运行模式尚未成熟，在护理过程中存在护患纠纷、护士受到人身侵害、患者隐私泄露等技术和服务风险［3］。因此，构建科学完整的安全管理体系在“互联网+护理服务”模式创新和运行中具有重要意义。南京大学医学院附属鼓楼医院于2019年探索“互联网+护理服务”安全管理模式，取得了较好效果。
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