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 ›› 2023, Vol. 23 ›› Issue (3): 336-340.doi: 10.3969/j.issn.1672-1756.2023.03.004

• 特别策划·静脉安全采血 • 上一篇    下一篇

急诊采血全流程信息化管理实践

杨旻斐 姚晓月 张兰兰 吴爱娜 徐梦云 唐沪强 陈克清 金静芬   

  1. 浙江大学医学院附属第二医院急诊科,310052 杭州市(杨旻斐,姚晓月,吴爱娜,徐梦云);检验科(唐沪强,陈克清);护理部(金静芬);澳大利亚蒙纳什大学护理与助产学院(张兰兰)
  • 出版日期:2023-03-15 发布日期:2023-03-15
  • 通讯作者: 金静芬,硕士,主任护师,执行院长,E-mail:zrjzkhl@zju.edu.cn
  • 作者简介:杨旻斐,本科,副主任护师,急诊科总护士长

Practice of information management of the whole process of blood sampling in emergency department

YANG Minfei, YAO Xiaoyue, ZHANG Lanlan, WU Aina, XU Mengyun, TANG Huqiang, CHEN Keqing, JIN Jingfen   

  1. Emergency Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310052, China
  • Online:2023-03-15 Published:2023-03-15
  • Contact: E-mail:zrjzkhl@zju.edu.cn

摘要: 目的:探讨急诊采血全流程信息化管理方式在急诊患者安全采血流程中的应用效果。方法:采用目的抽样法抽取我院急诊抢救室收治的874例患者为研究对象,将2021年第4季度的患者设为实施前组(n=438),2022年第4季度的患者设为实施后组(n=436),实施前组采用常规采血流程管理,实施后组采用全流程采血信息化管理,对两组不良事件发生率、标本延时送检率、标本送检时效性进行统计分析。结果:实施后组不良事件发生率低于实施前组,患者入抢救室时间至标本采集送出时间短于实施前组,标本延时送检率低于实施前组,标本签收至检验科出具报告时间短于实施前组,差异均具有统计学意义(P<0.05)。结论:在急诊通过全流程信息化管理模式可有效提升检验效率,降低不良事件发生率,保障患者安全。

关键词: 信息化管理;风险管理;急诊;采血;不良事件;护理安全

Abstract: Objective: To explore the effect of information management in the whole process of blood sampling in emergency department to ensure patient safety. Methods: Purpose sampling was used to select 874 patients admitted to the emergency department for resuscitation and their data were collected for statistical analysis. Patients who visited the resuscitation area in the fourth quarter of 2021 were designated as the control group (n=438), and patients who visited in the fourth quarter of 2022 were designated as the experiment group (n=436). Before the implementation, the group adopted routine blood collection process management, and after the implementation, the group adopted whole-process blood collection information management. The daily number of patients receiving resuscitation and the incidence of adverse events, the timeliness of the delivery of blood samples for blood routine, blood type and blood biochemistry and the delayed specimen delivery rate of the two groups were gathered and compared. Results: After the application of the information management, shorter detention time between patient admission and sample delivery, and a lower rate of delayed specimen delivery. Besides, the experiment group also showed faster results than the control group. All of the differences between the two groups were found to be statistically significant (P<0.05). Conclusion: The whole process information management mode in the emergency department can effectively improve the efficiency of tests, reduce the incidence of adverse events and ensure patient safety.

Key words: information management; risk management; emergency; blood sampling; adverse events; nursing safety

中图分类号:  R47;R197