住院患者护理风险评估预警监控传报系统的建立与应用效果评价.pdfVIP

护理安全 Nursing Safety 住院患者护理风险评估预警监控传报 系统的建立与应用效果评价 孙晓敏 丁雅英 汪虹 许方蕾 [ 摘 要] 目的：建立住院患者护理风险评估预警监控传报系统，对住院患者的护理风险进行评估、预警、 监控及干预，从而减少护理不良事件的发生。方法：利用医院计算机网络对新入院患者及住院期间患者的护理 风险进行评估、录入，系统进行自动筛选并对达到或超过阈值的高风险人群进行预警提示，护理单元根据风险 类别实施干预措施并进行风险监控传报，实行院 -科 - 护理单元三级实时跟踪监控，对住院患者的护理风险 进行前瞻管理。结果：住院患者护理风险评估预警监控传报系统实施 1年来，住院患者护理风险监控上报阳性 情况率明显上升，差异有统计学意义 (P0.05)；而与之相关的护理不良事件发生数明显减少，差异有统计学意 义(P0.05)。结论：住院患者护理风险评估预警监控传报系统提高了护士对护理风险的预见性及风险管理意识， 提高了护理安全管理效率，减少了护理不良事件的发生。 [ 关键词 ] 住院患者；护理风险；评估预警；监控传报；护理安全 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2017.03.022 The development and application effect of inpatient care risk assessment early warning monitoring biography reporting system / SUN Xiaomin, DING Yaying, WANG Hong, XU Fanglei // Department of Nursing, Tongji Hospital, Tongji University, Shanghai, 200065, China /// Chinese Nursing Management-2017,17(3): 378-382 [ ] Abstract Objective: To establish inpatient care risk assessment early warning monitoring biography reporting system, to evaluate, warn, monitor, and intervene, ultimately to reduce the occurrence of nursing adverse events. Methods: The hospital computer network was used to evaluate and data entry all newly admitted patients and all hospitalized patients. The system automatically screens high-risk inpatients and alerts nursing staff. According to the risk level, different nursing interventions are implemented accordingly. Closely monitor through hospital level, unit level and nursing quarters level, implement nursing interventions in advance. Results: The application of Inpatient care risk assessment early warning monitoring Biography reporting system for 1 year, nurses qualified rate in the risk control of re