个人数字助理在改善门急诊输液室安全管理流程中的效果
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摘要
目的探讨个人数字助理(PDA)在提升门急诊输液室安全管理流程中的应用效果。方法选择本院门急诊输液室接受静脉输液治疗的174例患者为研究对象,应用随机数表法分为对照组和观察组,各87例。对照组在输液治疗期间接受常规护理安全管理,观察组在对照组的基础上应用PDA系统。观察2组工作效率、输液安全管理情况及管理质量。结果实施管理后,观察组等待时间、配药时间、输液操作时间均低于对照组(P<0.05);管理后,观察组在输液流程中信息错误、反复穿刺、换药不及时、操作不符合执行记录等不良事件总发生率4.60%低于对照组的17.24%(P<0.05);观察组在服务态度、卫生情况、操作技能、工作效率、服务是否全面评分均高于对照组(P<0.05)。结论在急诊输液室安全管理流程中应用PDA系统效果显著,可提高医护人员工作效率,提升安全管理质量,减少输液不良事件发生率,避免医患纠纷,进而提高医院整体护理水平。
Objective To study the application effect of PDA(Personal Digital Assistant) in improving the safety management of infusion room in emergency department. Methods A total of 174 patients receiving intravenous infusion in outpatient emergency room were selected as the study objects,and were divided into control group and observation group by random number table method,with 87 patients per group. The control group received routine nursing safety management during infusion therapy,and the observation group applied the PDA system on the basis of the control group.Work efficiency,safety of infusion management and quality of management of two groups were observed. Results After management,the observation group had lower waiting time,dispensing time,infusion operation time than the control group(P < 0. 05). After management,the observation group had lower overall incidence rates of adverse events including information error,repeated puncture,tardy medical change,inconformity with the execution record(4. 60% vs. 17. 24%,P < 0. 05).Observation group had higher scores in service attitude,health,operating skills,work efficiency,overall service than the control group(P < 0. 05). Conclusion The application of PDA system in the safety management of emergency infusion room is effective and can improve the work efficiency of medical staff,improve the quality of safety management,reduce the incidence of infusion adverse events,avoid the occurrence of doctor-patient disputes,and thereby improving overall level of the hospital.
Objective To study the application effect of PDA(Personal Digital Assistant) in improving the safety management of infusion room in emergency department. Methods A total of 174 patients receiving intravenous infusion in outpatient emergency room were selected as the study objects,and were divided into control group and observation group by random number table method,with 87 patients per group. The control group received routine nursing safety management during infusion therapy,and the observation group applied the PDA system on the basis of the control group.Work efficiency,safety of infusion management and quality of management of two groups were observed. Results After management,the observation group had lower waiting time,dispensing time,infusion operation time than the control group(P < 0. 05). After management,the observation group had lower overall incidence rates of adverse events including information error,repeated puncture,tardy medical change,inconformity with the execution record(4. 60% vs. 17. 24%,P < 0. 05).Observation group had higher scores in service attitude,health,operating skills,work efficiency,overall service than the control group(P < 0. 05). Conclusion The application of PDA system in the safety management of emergency infusion room is effective and can improve the work efficiency of medical staff,improve the quality of safety management,reduce the incidence of infusion adverse events,avoid the occurrence of doctor-patient disputes,and thereby improving overall level of the hospital.
引文
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[10]吴君,张茜,吕雄文,等.某三甲医院实施静脉输液专项检查管理成效分析[J].中国医院药学杂志,2017,37(13):1302-1304.
[11]Chopra V,Kuhn L,Ratz D,et al.Vascular nursing experience,practice knowledge,and beliefs:Results from the michigan PICC1 survey[J].Journal of Hospital Medicine,2015,11(5):269-275.
[12]朱丽新.童趣化诱导对学龄前儿童静脉穿刺成功率及其家属满意度的影响[J].国际护理学杂志,2016,35(2):274-277.
[13]崔盈盈,杨书霞.PDCA循环法在门诊小儿头皮静脉输液滴速管理中的效果观察[J].实用临床医药杂志,2016,20(20):130-132.
[14]饶泽珍,彭薇,牟园芬.“护患沟通指引”在急诊输液室持续质量改进中的应用效果评价[J].中国医药导报,2015,12(15):149-153.
[15]Maneval R E,Clemence B J.Risk factors associated with catheter-related upper extremity deep vein thrombosis in patients with peripherally inserted central venous catheters:a prospective observational cohort study:part 2[J].Journal of Infusion Nursing the Official Publication of the Infusion Nurses Society,2014,37(37):260-268.
[16]徐国君,姜永珊,林冬梅,等.急诊输液室应对成批患者的预案管理的实践与思考[J].医学与哲学,2015,36(14):95-97.
[17]李学文,麦艳冰,陈月娇.社区门诊输液护理中应用人性化护理模式的效果[J].中国现代药物应用,2016,10(10):235-236.
[18]韩永梅,王萍,邵婧.门诊小儿输液室护士与患儿家属的沟通技巧[J].中国卫生产业,2016,13(8):158-160.
[2]李丹.门急诊开展系统化护理干预对静脉输液不良反应及护理满意度的影响[J].国际护理学杂志,2015,34(9):1279-1282.
[3]彭云柯,赵森,余浩,等.门诊输液管理信息系统的设计与实现[J].中国医疗设备,2017,32(1):125-127.
[4]刘海燕,汪俊华,蒋芝月,等.贵阳市某区基层医疗卫生机构门诊处方用药情况分析[J].贵州医科大学学报,2017,42(8):893-896.
[5]高春红,胡晓琳.移动信息技术在提高药物现配现用执行率中的应用[J].国际护理学杂志,2016,35(9):1172-1174.
[6]刘然.PDA移动扫描系统在急诊重症患者安全用药中的应用[J].中国病案,2016,17(1):30-31.
[7]林慧萍,温宇凤,刘田宇,等.以PDA为平台的绩效考核在输液室中的应用[J].中国医药导报,2017,14(19):161-164.
[8]卢道兵,刘兴淮,成自力.移动数据终端在医院门诊输液中的应用[J].中华现代护理杂志,2015,21(33):4083-4085.
[9]李丹.门急诊开展系统化护理干预对静脉输液不良反应及护理满意度的影响[J].国际护理学杂志,2015,34(9):1279-1282.
[10]吴君,张茜,吕雄文,等.某三甲医院实施静脉输液专项检查管理成效分析[J].中国医院药学杂志,2017,37(13):1302-1304.
[11]Chopra V,Kuhn L,Ratz D,et al.Vascular nursing experience,practice knowledge,and beliefs:Results from the michigan PICC1 survey[J].Journal of Hospital Medicine,2015,11(5):269-275.
[12]朱丽新.童趣化诱导对学龄前儿童静脉穿刺成功率及其家属满意度的影响[J].国际护理学杂志,2016,35(2):274-277.
[13]崔盈盈,杨书霞.PDCA循环法在门诊小儿头皮静脉输液滴速管理中的效果观察[J].实用临床医药杂志,2016,20(20):130-132.
[14]饶泽珍,彭薇,牟园芬.“护患沟通指引”在急诊输液室持续质量改进中的应用效果评价[J].中国医药导报,2015,12(15):149-153.
[15]Maneval R E,Clemence B J.Risk factors associated with catheter-related upper extremity deep vein thrombosis in patients with peripherally inserted central venous catheters:a prospective observational cohort study:part 2[J].Journal of Infusion Nursing the Official Publication of the Infusion Nurses Society,2014,37(37):260-268.
[16]徐国君,姜永珊,林冬梅,等.急诊输液室应对成批患者的预案管理的实践与思考[J].医学与哲学,2015,36(14):95-97.
[17]李学文,麦艳冰,陈月娇.社区门诊输液护理中应用人性化护理模式的效果[J].中国现代药物应用,2016,10(10):235-236.
[18]韩永梅,王萍,邵婧.门诊小儿输液室护士与患儿家属的沟通技巧[J].中国卫生产业,2016,13(8):158-160.