网上医嘱处理质量实时控制分析.PDFVIP

( ) 护理研究 2003 年 2 月第 17 卷第 2 期上半月版 总第 89 期 　CHIN ESE NU RSIN G RESEARCH 　February ,2003 Vo1. 17 No . 2A 1·71 · ·护理管理· 网上医嘱处理质量实时控制分析 张 　萍 　郭正杰 摘要 : 目的:探索网上医嘱处 Real - time Control Analysis on Qualit y of Handling the Inter 理质量的管理方法 ,促进护 net Medical Orders 理文书的规范化。方法 :采 用我院自行设计的“医嘱处 Zhang Ping , Guo Zhengjie (No . 94 Hospital of PL A , Jiangxi 330002 China) 理实时监控系统”,对网上数 据库内 2000 年 10 月 —2002 Abstract : Objective : to explore t he administrative met hod on handling medical or 年 9 月 98 万条医嘱中报错 ders on t he internet , to make nursing document more standardized. Met hods : 医嘱、出错人员分 4 个时间 self - designed t he ”Medical Order Handling Real - time Monitoring System ”was 段进行对比分析。结果 : 网 adopted. A total of 980 t housand of medical orders dated from Oct . 2000 to Sep . 上医嘱处理存在的主要问题 2002 on t he internet data base were analyzed. Among which , mistakes in reportin g 在临时医嘱上 ,其次是控制 t he orders , who made t hese mistakes were comparatively analyzed in 4 different 时间段内未转抄校对医嘱 , time period. Results : main problem existed in t he internet order handling was 出错人员报错率与工作年限 t hose temporary orders. Nursing staff did not transcribe and proofread t he orders in 呈正相关。结论 :在网上运 time was in t he second place. The amounts of mistakes nursing staffs made had t he 用“医嘱处理实时监控系 positive relation wit h t he time period of t heir working experience. Conclusion : to 统”,可及时发现和纠正医嘱 use t he “Medical Order Handling Real - time Monitoring System ”on t he internet 处理过程中的错误。 may find out and correct t he mistakes made by nurses in t he course of orders han 关键词 :计算机 ; 医嘱质量 ; dling. 监控 ;分析 Key words :Computer ; Qualit y of medic