Design and application of unplanned extubation quality index management system based on direct data acquisition
10.3760/cma.j.cn211501-20201210-04783
- VernacularTitle:基于数据直采的非计划性拔管质量指标管理系统的设计和应用
- Author:
Shuang′ai ZHU
1
;
Hongying PAN
;
Yulan XU
;
Lili CHENG
;
Hongxia XU
;
Jun CHEN
;
Chen HUANG
Author Information
1. 浙江大学医学院附属邵逸夫医院护理部，杭州 310006
- Keywords:
Clinical nursing;
Information system;
Quality management;
Unplanned extubation;
Node management
- From:
Chinese Journal of Practical Nursing
2022;38(6):438-442
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To acquire more scientific, accurate and efficient unplanned extubation (UEX) quality management data by using information technology to directly take the quality index data of unplanned extubation from the nursing medical record system.Methods:From June 2019 to August 2019, a knowledge base of pipeline management including the name of pipeline, pipeline evaluation, pipeline care measures, and reasons for unplanned extubation of pipeline was established in Sir Run Run Shaw Hospital Affiliated to Zhejiang University School of Medicine. Through the analysis of each node of pipeline management, pipeline management system was established. And the non-planned pipeline management data set was directly collected to the nursing quality management system for statistics and analysis, which was verified.Results:In clinical application from September 2019 to september 2020, the direct collection of unplanned extubation quality index data saved 496 hours of nursing labor costs per month, and the accuracy of direct data collection increased from 95.8% (161/168) in trial operation to 100.0% (494/494). The underreporting rate of adverse events decreased to 0. Satisfaction with the application of the quality index management system for unplanned extubation was (4.35 ± 0.73) points.Conclusions:The direct collection of quality index data for unplanned extubation improves the accuracy of the data. Nurses no longer need to report unplanned extubation incidents. The clinical nursing information system and the nursing management system are interconnected to improve the management efficiency of unplanned extubation. It is worthy of application and promotion in clinic.
