移动输液系统在急诊输液患儿护理安全管理中的应用

Application of mobile infusion system in nursing safety management of outpatient children at emergency department

目的探讨移动输液系统在急诊输液患儿护理安全管理中的应用效果。方法选取2014年1月—2015年1月急诊科接受输液的500例上呼吸道感染伴腹泻患儿为对照组,选取2015年2月—2016年2月在急诊接受输液的500例上呼吸道感染和腹泻患儿为观察组。对照组采用常规输液管理,观察组采用移动输液系统管理,比较2组护理工作质量、不良事件发生情况及护理满意度。结果观察组平均接药时间、平均配药时间、平均注射时间均显著低于对照组(P<0.05),护理不良事件发生率显著低于对照组(P<0.05),观察组患儿家长对急诊输液护理服务调查总满意度显著高于对照组(P<0.01)。结论移动输液管理系统应用于急诊输液患儿护理中能够显著提高护理工作质量和满意度,减少不良事件的发生。

Objective To evaluate the mobile infusion system in nursing safety management of outpatient children at emergency department. Methods Retrospectively collected the clinical data of 500 children with upper respiratory tract infection and diarrhea between Jan 2014 and Jan 2015, set as the control group. Another 500 children were recruited as the observation group between Feb 2014 and Feb 2015. All outpatient children were given infusion therapy, and the conventional transfusion management and mobile infusion system assisted by personal digital assistant （PDA） was performed in the control group and observation group respectively. The nursing quality, nursing adverse events and satisfaction of parents to nursing service were compared between two groups. Results The averaged registration time, medication dispensing and infusion time were shorter in the observation group than those in the control group （P 〈0. 05）. The observation group had a lower incidence of nursing adverse event compared with the control group （P 〈0.05）. The nursing satisfaction rate was higher in parents of children from the observation than those of parents from the control group （P 〈0. 01） . Conclusion Mobile infusion system can significantly improve the quality and safety of nursing work in emergency infusion to pediatric patients.