文章摘要
基于信息化危急值全流程闭环管理模式构建与应用分析
The whole-process closed-loop management mode of critical value of hospitalized patients based on information technology
投稿时间:2025-01-08  修订日期:2025-01-26
DOI:
中文关键词: 信息化  住院患者  危急值  闭环管理  模式构建
英文关键词: Informatization  Hospitalized patients  Critical value  Closed-loop management  Pattern construction
基金项目:河北省2020年度医学科学研究课题 编号:20201524;滨州市人民医院院级项目(XJ2024003001)
作者单位邮编
张英 滨州市人民医院 256610
董雅萌* 滨州市人民医院 
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中文摘要:
      【摘要】 目的 构建基于信息化的住院患者危急值全流程闭环管理模式,提高医务人员工作效率,降低患者风险,提高医院危急值的管理水平。方法 多部门协作构建基于信息化的住院患者危急值确认、推送、接收、处理等全流程闭环管理模式,对比该模式改善前后危急值通知到医护人员平均时间、医生接收-处理危急值平均时间、危急值缺陷率、危急值专项督导平均时间等指标,评价本管理模式的有效性。结果 基于信息化的危急值全流程闭环管理模式建立后危急值通知到医护人员平均时间、医生接收-处理危急值平均时间、危急值专项督导平均时间分别为0.12min、1.86min、0.68min,均低于改善前的2.88min、5.3min、3.76min,危急值缺陷率改善后为0%,低于改善前的6%。差异均具有统计学意义(P<0.05)。结论 基于信息化的住院患者危急值全流程闭环管理模式能够显著提高医务人员工作效率,危急值信息传递更加准确、及时,从而降低了患者风险,且数据全流程可追溯,为科学管理提供保障,值得推广使用。
英文摘要:
      [Abstract] Objective To construct an information-based whole-process closed-loop management model for inpatient critical value, improve the work efficiency of medical staff, reduce the risk of patients, and improve the management level of hospital critical value. Methods A whole-process closed-loop management model of critical value confirmation, push, reception and processing for inpatients was constructed based on information technology in collaboration with multiple departments. The average time for critical value notification to medical staff, average time for doctors to receive and process critical value, critical value defect rate, and average time for special supervision of critical value before and after improvement of this model was compared to evaluate the effectiveness of this management model. Results After the improvement of the information-based closed-loop management mode of critical value, the average time of critical value notification to medical staff, the average time of receiving and handling critical value by doctors, and the average time of special supervision of critical value were 0.12min, 1.86min and 0.68min, respectively. All of them were lower than 2.88min, 5.3min and 3.76min before improvement. The defect rate of critical value was 0% after improvement, which was lower than 6% before improvement. The differences were statistically significant (P < 0.05). Conclusion The whole-process closed-loop management mode of inpatient critical value based on informatization can significantly improve the work efficiency of medical staff, and the critical value information can be transmitted accurately and timely to reduce the risk of patients. Moreover, the data can be traced throughout the whole process, providing guarantee for scientific management, and is worth promoting and using.
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