[1]张莉 朱朝娟 樊泽 王婉玲 张小梅 郭丹 张美霞.急诊护理电子病历系统研发与应用[J].中国卫生质量管理,2018,25(06):069-72.[doi:10.13912/j.cnki.chqm.2018.25.6.22]
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急诊护理电子病历系统研发与应用
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第25卷
期数:
2018年06期
页码:
069-72
栏目:
护理质量
出版日期:
2018-11-28

文章信息/Info

作者:
张莉 朱朝娟 樊泽 王婉玲 张小梅 郭丹 张美霞
空军军医大学西京医院
关键词:
急诊护理电子病历系统预检分诊护理病历
Keywords:
Emergency Nursing Electronic Medical Record System Precheck Triage Nursing Records
DOI:
10.13912/j.cnki.chqm.2018.25.6.22
摘要:
结合住院护理电子病历系统,根据急诊科工作特色,研发出急诊护理电子病历系统,并应用于临床。实施后,分诊准确率由82.00%上升至96.00%,急诊抢救室护理文书总修订率由37.85%下降至15.99%,医生对护士的满意度由88%上升至96%,护士对整体工作满意度由78.38%上升至97.23%,患者对护士工作及服务满意度由82.00%上升至94.00%,差异均具有统计学意义(P<0.05)。急诊护理电子病历系统提高了分诊准确率及抢救室工作效率,优化了急诊护理流程,提高了护理质量,保证了护理安全。
Abstract:
Combined with the electronic nursing record system of inpatient, the emergency electronic nursing record system was developed according to the working characteristics of the Emergency Department, and applied to the clinical practice. After implementation, triage accuracy rate increased from 82.00% to 96.00%, and the revised rate of emergency nursing document in intensive care was decreased from 37.85% to 15.99%. The satisfaction of doctors on nurses increased from 88% to 96%, the nurses job satisfaction increased from 78.38% to 97.23%, and the satisfaction of patients on nursing work and services increased from 82.00% to 94.00%, the differences were statistically significant (P<0.05). The electronic medical record system for emergency care improved the accuracy of triage and the efficiency of the emergency room, optimized the emergency care process, improved the quality of care and ensured the safety of nursing.

参考文献/References:

[1]张波,桂莉.急危重症护理学[M].北京:人民卫生出版社,2012:7-9.

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更新日期/Last Update: 2018-11-28