主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2022, Vol. 22 ›› Issue (10): 1462-1465.doi: 10.3969/j.issn.1672-1756.2022.10.005

• 特别策划·智慧护理 • 上一篇    下一篇

住院患者静脉血栓栓塞预警信息化系统的构建与应用

尹世玉 王颖 熊甜 夏海鹏 汪晖 黄丽红   

  1. 华中科技大学同济医学院附属同济医院护理部,430030 武汉市(尹世玉,王颖,汪晖,黄丽红);综合医疗科(熊甜);医务处(夏海鹏)
  • 出版日期:2022-10-15 发布日期:2022-10-15
  • 通讯作者: 王颖,硕士,主任护师,护理部副主任,E-mail:752460170@qq.com
  • 作者简介:尹世玉,硕士,副主任护师,医技科室总护士长

Establishment and application of an early warning information system for inpatients with Venous Thromboembolism

YIN Shiyu, WANG Ying, XIONG Tian, XIA Haipeng, WANG Hui, HUANG Lihong   

  1. Nursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China
  • Online:2022-10-15 Published:2022-10-15
  • Contact: E-mail:752460170@qq.com

摘要: 目的:构建住院患者静脉血栓栓塞(Venous Thromboembolism,VTE)预警信息化系统,以提升医护人员对VTE的防治意识和水平,及时对有VTE风险的患者进行干预。方法:通过组建VTE防治工作组,构建以信息化为基础的,多学科协作下的VTE预警信息化系统,联通医疗和护理电子病历系统,进行风险自动评估和预警、分级预防与治疗辅助决策、VTE质量控制管理。结果:VTE预警信息化系统实施后,我院逐步实现了对所有住院患者的VTE风险评估全覆盖;与实施前相比,VTE高风险患者的基础预防措施、物理预防措施和药物预防措施的落实率均有提升(P<0.001)。信息系统用户体验评价4个维度中,预警及时维度评分最高,为(9.16±2.79)分。结论:住院患者VTE预警信息化系统的构建与应用,可助力高效、高质量地开展院内VTE防治工作,提升VTE防治水平,更好地保障患者的医疗安全和质量。

关键词: 住院患者;静脉血栓栓塞;信息化系统;质量管理;智慧护理

Abstract: Objective: To construct an information system for early warning of Venous Thromboembolism (VTE) in hospitalized patients, so as to improve medical staff?'s awareness and ability of prevention and treatment of VTE to offer timely intervention to high-risk patients. Methods: By setting up a multidisciplinary VTE prevention and treatment working group, the information-based VTE early warning system was built to connect medical and nursing electronic record systems, thus ensure automatic risk assessment and early warning, hierarchical prevention and treatment assisted decision-making, VTE quality control and other functions, which altogether guaranteed the steady implementation of clinical VTE prevention and treatment both efficiently and conveniently. Results: Since the application of the VTE early warning information system, VTE risk assessment had been given to all the hospitalized patients with the assessment rate reaching 100.00%. The prevention rates of basic, physical and drug preventive measures in high-risk patients increased significantly (P<0.001). Among the four dimensions of user experience evaluation of the information system, the dimension of early and timely warning scored the highest (9.16±2.79). Conclusion: The establishment and application of the VTE early warning information system for inpatients can booster effective and high-quality prevention and treatment of VTE in hospital to improve patients' outcomes and better safeguard their safety and upgrade healthcare.

Key words: inpatient; Venous Thromboembolism; information system; quality control; wise information technology of nursing

中图分类号:  R47;R197