科室护理信息化管理平台临床评价体系建立与应用效果  

Establishment and application effect of clinical evaluation system of department nursing information management platform

作　　者：林桦[1] 陈希[2] 俸永红 王小霞[2] 黎福理[2] LIN Hua;CHEN Xi;FENG Yonghong;WANG Xiaoxia;LI Fuli(Department of Information Management Office,Haikou People's Hospital,Hainan Province,Haikou570208,China;Department of Nursing,Haikou People's Hospital,Hainan Province,Haikou570208,China;Department of Nursing,the Fifth People's Hospital of Hainan Province,Hainan Province,Haikou570208,China)

机构地区：[1]海南省海口市人民医院信息管理处,海南海口570208 [2]海南省海口市人民医院护理部,海南海口570208 [3]海南省第五人民医院护理部,海南海口570208

出　　处：《中国医药导报》2020年第13期181-184,共4页China Medical Herald

基　　金：海南省卫生和计划生育委员会卫生计生行业科研项目(15A200030)。

摘　　要：目的研究信息化管理平台评价体系在临床科室中的建立与应用效果。方法以海南省海口市人民医院护理信息化数字管理系统为依托,主要研究信息化建设在临床护理领域的应用。在全面整合医护药、技、财等临床信息的基础上构建临床数据中心(CDR),并结合CDR构建的临床决策系统和围绕临床诊疗的九大闭环管理,优化护理工作流程,保障护理质量和安全,开发建立临床科室护理信息化体系,包括护理电子病历管理系统、护士工作站平台、静脉药物配置平台、护理后勤支持等信息系统等,了解信息化建立之后对护理工作的管理效果。结果实施信息化管理后,平均每位护理人员每日送达各类标本和通知、药房取药、领取各类耗材、患者转科、检查治疗、送患者出入院、送修各类仪器时间均明显缩短,基础护理时数、病情观察时数、健康教育时数均得到延长,差异有统计学意义(P<0.05)。结论应用信息化管理模式在临床护理工作中具有较好的促进作用,能够提高管理质量,优化护理质量与效率。Objective To study the establishment and application effect of the information management platform evaluation system in clinical departments.Methods Based on the nursing information digital management system of Haikou People's Hospital,the application of information construction in the clinical nursing field was studied.Building a clinical data repository(CDR)on the basis of comprehensive integration of clinical information of medical medicine,technology and finance.Combined with the clinical decision system constructed by CDR and the nine closed-loop management around clinical diagnosis and treatment,optimize nursing workflow,guarantee nursing quality and safety,develop and establish clinical nursing information system,including nursing electronic medical record management system,nurses workstation platform,intravenous drug configuration platform,nursing logistics support and other information systems,to understand the nursing management effect after the establishment of information.Results After implementation of information management,the average daily nursing service of all kinds of specimens and notification,the dispensary,collect all kinds of supplies,transper patient,check treatment,send patients out of the hospital or admitted to hospital,repaire all kinds of instruments and time were significantly shortened,while basic nursing,disease observation hours,health education hours were extended,the differences were statistically significant(P<0.05).Conclusion Application of information management model in the clinical nursing work has a good role in promoting.It can improve the quality of management,and optimize nursing quality and efficiency.

关 键 词：信息化管理平台 临床护理管理 评价体系 应用效果 

分 类 号：R47[医药卫生—护理学]