建立住院患者静脉血栓栓塞症上报系统内容的研究

Study on the content of venous thromboembolism reporting system in hospital

目的基于护理信息系统对发生静脉血栓栓塞症患者的信息进行采集、存贮、传输与处理,为患者住院期间静脉血栓栓塞症的预防、治疗、护理提供信息化支持,从而最大限度地保障患者院内安全。方法通过焦点小组访谈法对临床从事静脉血栓栓塞相关工作的医务人员进行访谈。根据2轮焦点小组访谈结果,在临床应用实施并完善,最终形成住院患者静脉血栓栓塞症上报系统内容。结果住院患者静脉血栓栓塞症上报系统包括患者静脉血栓拴塞症上报表和静脉血栓栓塞症患者住院期间病情管理追踪表。结论通过明确住院患者静脉血栓栓塞症上报系统内容,使用信息化手段对静脉血栓栓塞症患者进行管理,动态监测患者的病情变化,保证患者院内安全。

Objective Conducting information acquisition,storage,transmission and processing among venous thromboembolism patients through nursing information system,to provide information support in prevention,treatment and care for patients with venous thromboembolism during hospitalization to maximize patients＇ safety. Methods Focus group interviews were performed among experts with a specialty in venous thromboembolism. Based on results of two rounds of focus group interviews,via clinical implementation and improvement,the content of venous thromboembolism reporting system in hospitalized patients were finalized. Results The reporting system included a form of reporting of patients with venous thromboembolism and a form of management of patients＇ condition during hospitalization. Conclusion Through clarifying contents of reporting system for venous thromboembolism in hospitalized patients,information technology was used to manage and dynamically monitor patients with venous thromboembolism to ensure patients＇ safety.