Design and application of electronic nursing records system
10.3760/cma.j.issn.1674-2907.2017.25.028
- VernacularTitle:护理文件信息系统的设计与应用效果
- Author:
Xin GUAN
1
;
Lei WANG
;
Shengxiao NIE
;
Jing LENG
;
Xuesong DAI
Author Information
1. 北京医院护理部 国家老年医学中心
- Keywords:
Adverse event;
Electronic nursing records system;
Quality control;
Patient's satisfaction
- From:
Chinese Journal of Modern Nursing
2017;23(25):3305-3308
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the design and application effects of the electronic nursing records system.Methods The electronic nursing records system with comprehensive functions including resource sharing and importing, nursing documents typing in, quality control and dictionary management, was designed based on the clinic and implemented in the hospital. Qualification rates of nursing documents, incidences of fall and pressure ulcer in high-risk population, and patient's satisfaction after the implementation from 2014 to 2016 were collected to evaluate the application effect.Results Qualification rate of nursing documents increased from 96.37% to 97.98%; incidence of fall in high-risk population decreased from 0.35% to 0.08%; incidence of pressure ulcer in high-risk population decreased from 3.64% to 2.85%; and patient's satisfaction increased from 93.90% to 96.53%.Conclusions The electronic nursing records system not only saves the writing time, standardizes nursing records, increases the qualification rate of nursing documents, but also can decrease the incidence of nursing adverse events and increase the patient's satisfaction. However, there are still some defects in the system that require the improvement.
