信息化过程控制在预防住院患者跌倒中的应用

Application of an informational process control to prevent inpatient fall

目的:基于信息化平台,运用全面质量管理、ISO 9000"过程控制"进行预防跌倒管理,降低住院患者跌倒发生率。方法:建立预防跌倒信息化平台,设置4大功能模块,实现预防跌倒全程路径管理。提取关键过程监控指标,实施宏观、微观数据结合的过程控制,开展不同跌倒风险级别、不同管理层级、不同时间节点的全方位过程控制,实现实时监控、反馈与改进。在全院106个护理病区实施,比较实施信息化过程控制前后的效果。结果:实施信息化过程控制预防跌倒管理后,住院患者跌倒高风险上报率增加,跌倒发生率明显下降(P<0.05),预防跌倒集束化策略指标落实率提升(P<0.05)。结论:应用信息化过程控制,实现住院患者预防跌倒高效管理,降低住院患者跌倒发生率,保障患者安全。

Objective： Based on the information platform, using the concept of total quality management and ISO 9000 ＂process control＂ for falls prevention, so as to reduce the incidence of falls in hospitalized patients. Methods： Established fall-prevention information platform. Set up four function modules and implemented full-path management of falls prevention. Then, bundles of care and key indexes for process monitor were formulated. Implemented the process control on the bases of macro and micro data, carried out different levels and division of fall-prevention process control, implemented time scale falls-prevention process control and monitored the feedback. Results： After the implementation of informational process control, the rate of inpatient fall decreased significantly （P〈0.05）, and the rate of implementations of fall-prevention process indexes promoted significantly （P〈0.05）. Conclusions： Implementation of the informational process control reduce the rate of inpatient fall. It also helps to achieve effective and efficient management to prevent falls, so as to guarantee the safety of patients.