Construction and application of "suspected special difficult care" information reporting and monitoring system
10.3760/cma.j.issn.1674-2907.2018.08.026
- VernacularTitle:"疑特难护理事件"信息上报及监控系统的构建与应用
- Author:
Beimin CHEN
1
;
Qian WU
;
Congxiang LIU
;
Shu ZHOU
Author Information
1. 200072,上海市第十人民医院护理部
- Keywords:
Nursing informatics;
Difficult special difficult care;
Reporting system;
Monitoring system
- From:
Chinese Journal of Modern Nursing
2018;24(8):968-971
- CountryChina
- Language:Chinese
-
Abstract:
Objective To optimize nursing work process by applying the "suspected special difficult care" information reporting and monitoring system, so as to effectively reduce the incidence of adverse nursing events and ensure patients' medical care safety. Methods Through literature review and summary analysis of the causes of adverse events in the past recent 3 years, the top 10 cases of "suspected special difficult care" were selected and implanted into the information platform. The incidence of adverse events before the implementation of "suspected special difficult care" system (April to September 2015) were compared with that after the implementation (October 2015 to March 2016). SPSS 19.0 software was used to establish a database and complete data analysis. Results There were 188 cases of nursing adverse events before the implementation of the "suspected special difficult care" system, with a incidence rate of 0.53%. After the implementation, there were 116 cases of adverse events and the incidence rate decreased to 0.30%. The difference was statistically signficant (χ2=19.77, P<0.01). At the same time, the incidence of critical cases, hospitalization duration over 30 days, difficult cases, cases of potential disputes and other difficult nursing incidents all had decreased, the differences were statisticlly significant (P<0.05). Conclusions This system can optimize the clinical nursing work flow, effectively avoid the potential risks of nursing care, so as to achieve the feedforward control of nursing adverse events and minimize the occurrence and development of adverse events.
