特需病房护理信息系统应用中的问题分析及对策  

Problem analysis and countermeasure of nursing information system application in Special Ward

作　　者：孙桂兰[1] 张淼[1] 门苗 罗晶 郭悠燕 田迎春[1] Sun Guilan;Zhang Miao;Men Miao;Luo Jing;Guo Youyan;Tian Yingchun(Special Ward,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China;Information Office,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院特需病房,100029 [2]首都医科大学附属北京安贞医院信息办,100029

出　　处：《中华现代护理杂志》2020年第11期1508-1511,共4页Chinese Journal of Modern Nursing

摘　　要：目的对特需病房护理信息系统应用中出现的问题进行总结,探讨解决方法。方法2017年1—2月总结特需病房护理信息系统应用中的问题并分析原因,2017年3月起实施改进措施,包括:加强护士培训和质量控制、与医生密切合作、增强对医嘱的审核能力、双人核对医嘱、文字交接班、建立病房口服药品登记等。比较改进前后的护理质量相关指标。结果实施改进措施后,护士每日电脑操作耗时减少,护士发现及纠正问题医嘱的数量增加,给药错误防范次数增加,差异有统计学意义(P<0.05)。结论对特需病房护理信息系统实施改进措施有效提高了护士工作效率,预防和减少护理差错发生。Objective To summarize the problems of nursing information system application in Special Ward and to explore the solutions.Methods From January to February 2017,we summarized the problems of nursing information system application in Special Ward and analyzed the causes.From March 2017,we implemented the improvements,such as strengthening nursing training and quality control,working with doctors closely,improving the auditing ability to doctor's advice,double checking for doctor's advice,shift by words and building the ward oral drug registration.We compared the indexes of nursing quality before and after improvement.Results After improvement,the time of daily computer operation by nurses reduced;the number of problematic doctor's advice found and corrected by nurses increased;the times of medication administration error prevention also increased;the differences were all statistical(P<0.05).Conclusions Improvements for nursing information system of Special Ward effectively improve nurses'working efficiency,prevent and reduce the nursing errors.

关 键 词：护理管理研究 护理信息系统 特需病房 改进措施 工作效率 

分 类 号：R47[医药卫生—护理学]