PDCA循环理论在护理信息系统建设中的应用

Application of PDCA circle in the construction of nursing information system

目的探讨PDCA循环理论在护理信息系统建设中的应用。方法运用PDCA循环理论制订护理信息系统设计方案,系统建成后经过试点反复修改完善,较成熟后采取以点带面的方法在全院运行,并将新系统运行后发现的护理质量问题作为下一个循环监控的重点。结果护士在节约工作时间、了解患者信息、评估患者情况、内容实用、与上级沟通便利方面的满意度均有提高(P<0.01);护士长对护理质量监控、不良事件应对、及时掌握护士情况、科室人员信息管理、科室间交流沟通方面满意度提高(P<0.01)。结论 PDCA循环理论应用于护理信息系统建设中的成效明显。

Objective To explore the application of PDCA circle in the construction of nursing information system. Methods Based on PDCA theory, the information system design program was developed, revised, and implemented from one department to the whole hospital. Then the problems were identified by checking the system status and nursing quality after running,which would be seen as the key points should be controlled in the next PDCA circle. Results After the PDCA circle, nurses satisfaction in the domains of time saving,collecting the patients information, assessment of patients, useful contents, practicality and effi- ciency of communication with their superiors were improved （ P 〈 0.01 ）. The head nurses were satisfied with the domains of nursing quality control, coping with adverse events, management of nursing staff, management of the medical staff infmnation and communication with other department （ P 〈 0. 01 ）. Conclusion PDCA theory is an effective method in the construction of nursing information system.