关键词: 护理；交接班；信息系统；构建；护理质量

Abstract: Objective: To develop a nursing handover information system and observe its application effects to improve the quality of clinical nursing handover. Methods: Based on the formation of a multidisciplinary team and the development of a structured nursing handover form, a nursing handover information system was developed based on the electronic medical record system. The system included four main functional modules: handover report, historical record query, quality control management and statistical analysis. The system was implemented hospital-wide. Comparisons were made before and after system application regarding nurse handover preparation time, completeness of handover records, and error rate of handover report information. Additionally, nurses' feedback on the system was surveyed. Results: After the application of the nursing handover information system, the time required for nurses to prepare for handover was reduced by 14.05 minutes (P<0.05). The completeness rate of handover records has improved from 93.13% to 98.14% (P<0.05), and the error rate in handover reports has decreased from 8.40% to 0.06% (P<0.05). Nurses rated their satisfaction with the system highly (mean score for each item >4). Conclusion: The application of nursing handover information system can improve the quality of handover, improve the correctness, completeness and standardization of handover content, further strengthen the closed-loop management of clinical handover, and ensure the effective implementation of handover work system on the premise of improving clinical nursing work and management efficiency.

Key words: nursing; handover; information system; construction; nursing quality