[1]张杰 骆金铠 李谷维 任海艳 郭潇潇.护理巡视双闭环管理模式探索与实践[J].中国卫生质量管理,2025,32(04):015-18.[doi:10.13912/j.cnki.chqm.2025.32.4.04]
　ZHANG Jie,LUO Jinkai,LI Guwei.Exploration and Practice of the Dual Closed-Loop Management Model in Nursing Rounds[J].Chinese Health Quality Management,2025,32(04):015-18.[doi:10.13912/j.cnki.chqm.2025.32.4.04]
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护理巡视双闭环管理模式探索与实践()
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第32卷
期数:
2025年04期
页码:
015-18
栏目:
特别关注
出版日期:
2025-04-15

文章信息/Info

Title:
Exploration and Practice of the Dual Closed-Loop Management Model in Nursing Rounds
作者:
张杰 骆金铠 李谷维 任海艳 郭潇潇
首都医科大学附属北京友谊医院
Author(s):
ZHANG Jie; LUO Jinkai; LI Guwei
Beijing Friendship Hospital, Capital Medical University
关键词:
护理巡视; 分级护理; 闭环管理; 护理质量; 护理信息化; 患者安全
Keywords:
Nursing Rounds;  Graded Nursing;  Closed-Loop Management;  Nursing Quality;  Nursing Informatization;  Patient Safety
分类号:
R47
DOI:
10.13912/j.cnki.chqm.2025.32.4.04
文献标志码:
B
摘要:
护士在规定时间内对患者进行巡视，是分级护理的核心，也是确保患者安全的关键。针对使用移动PDA扫码巡视存在的护士巡视行为与记录不符、分级巡视不及时、护士工作量增加等问题，构建了护理巡视双闭环管理模式。通过设置护理巡视行为标记符号，借助信息技术，再造护理巡视业务流程，形成“护士巡视→巡视行为标记→巡视数据提取→巡视统计视图生成”的巡视活动闭环实践路径，并设置巡视质控关键点，分级授权闭环监测护理巡视质量。
Abstract:
Nursing rounds conducted by nurses within specified time intervals are the core of graded nursing and crucial for ensuring patient safety. In response to issues such as discrepancies between nursing rounds behavior and records, delayed graded rounds, and increased nurse workload associated with mobile PDA scan-based rounds, a hospital has developed a dual closed-loop management model for nursing rounds. By setting nursing rounds behavior markers and leveraging information technology, the business process of nursing rounds has been redesigned. This has resulted in a closed-loop practice pathway for rounds activities: nurse rounds → rounds behavior marking → rounds data extraction → generation of rounds statistics views. Additionally, key points for rounds quality control have been established, and closed-loop monitoring of nursing rounds quality has been implemented with graded authorization.

参考文献/References:

［1］安 然,王晓慧,范宇莹,等.成人危重症患者分级护理研究［J］.中国卫生质量管理,2021,28(11):54-57.［2］朱志琴.应用移动护理设备提高护理质量［J］.中国卫生质量管理,2018,25(3):85-87.［3］章 花,黄 静,石 雨,等.基于信息分析技术的分级巡视三阶梯闭环管理系统构建与应用［J］.护理学杂志,2020,35(13):44-47.［4］李 楠,杜 岳,于秋芸,等.电子巡视单对急诊脑血管病患者输液流程优化中护理质量改善效果的研究［J］.中国卒中杂志,2021,16(5):497-501.［5］孟爱清,孟爱荣,李 聃.护士对应用分级护理巡视单真实感受的质性研究［J］.国际护理学杂志,2016,35(12):1697-1699.［6］曹文竹,吴沛霞,倪 杨.护理巡视的研究进展［J］.上海护理,2023,23(11):69-71.

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更新日期/Last Update: 2025-04-15