基于定位二维码技术构建急性缺血性脑卒中流程管理模式  

Construction of the Process Management Mode of Acute Ischemic Stroke Based on the Positioning Two-Dimensional Code Technology

作　　者：张珠凤[1] 李白玉 李柯叶 黄少玲 费科锋[1] 张蕾 ZHANG Zhufeng;LI Baiyu;LI Keye(Zhejiang Hospital,Hangzhou,Zhejiang,310030,China;不详)

机构地区：[1]浙江医院,浙江杭州310030 [2]国家卫生健康委医院管理研究所,北京100044

出　　处：《中国卫生质量管理》2024年第5期5-8,12,共5页Chinese Health Quality Management

基　　金：基于同步化信息共享构建急性脑卒中院前院内闭环式急救流程管理模式研究及推广应用(编号:2023KY448);基于结构化消息流构建急诊医疗设备闭环管理系统研究及推广应用(编号:2022ZH024)。

摘　　要：目的基于定位二维码技术构建急性缺血性脑卒中流程管理模式,并探索其临床应用价值。方法比较管理模式应用前后急性缺血性脑卒中患者静脉溶栓总用时及各时间节点用时、住院天数及住院费用等,同时比较模式应用前后急诊科护士护理记录书写用时、书写错误及缺陷等。结果基于定位二维码技术构建的急性缺血性脑卒中流程能有效缩短DNT(P<0.001),模式应用后护理记录书写时间明显缩短(P<0.001),书写质量提高。结论通过定位二维码技术可实现流程数据精确抓取,在生成流程时间轴的同时可生成相应护理记录,为卒中流程质量改进提供了数据支持,对高级卒中中心的建立有借鉴价值。Objective To construct the process management mode of acute ischemic stroke based on the positioning two-dimensional code technology and explore the clinical application value.Methods Before and after the application of the management mode,the total time of intravenous thrombolysis,the duration of each time node,the number of days in hospital and the cost of hospitalization were compared,and the writing time,writing errors and defects of nurses in the emergency department were compared.Results The process of acute ischemic stroke based on positioning two-dimensional code technology could effectively shorten door to needle time(DNT)(P<0.001),and the writing time of nursing records could be significantly shortened(P<0.001),and the writing quality could be improved.Conclusion The process data can be accurately captured by positioning two-dimensional code technology,and the corresponding nursing records can be generated while the process timeline is generated,which provides data support for continuous quality improvement of stroke process and has reference value for the establishment of advanced stroke centers.

关 键 词：缺血性脑卒中 静脉溶栓 时间节点管理 定位二维码 DNT 质量与信息化 

分 类 号：R197.3[医药卫生—卫生事业管理]