基于数字ICU重点指标集束化监测的管理模式在护理质量改进中的应用

Research based on the e-ICU merge bundle care as the hospital management mode for key indicators devoted to improve the medical quality

目的探讨基于数字ICU的视频监测管理模式对ICU重点集束化监测指标的质量改进效果。方法制定ICU集束化监测指标，利用数字ICU监测系统与临床管理结合并同步进行质量监督管理，制定针对性改进措施并监督落实执行，以提高护理质量。本研究以新疆医科大学第一附属医院重症医学科各指标改进情况及效果。结果监测人次较基线调查时持续增长，7月监测人次较基线调查时增长6倍；集束化监测指标总正确执行率自基线调查时至7月由88%（20 859/23 562）提高至98%（107 436/109 629），7-10月总正确执行率维持在98%左右。结论基于数字ICU重点指标集束化监测的管理模式可协助督促落实ICU护理质量的有效持续改进和提高，有益于ICU医疗、护理质量管理。

ObjectiveTo discuss the quality improvement effect of the video monitoring management model based on digital ICU for the centralized monitoring of the ICU key index.MethodsSelected the ICU key monitoring indicators developed cluster monitoring bundle, using digital ICU monitoring system and clinical management combining synchronous quality supervision and management, developed targeted measures to improve and supervise the implementation, in order to improve the medical quality. Based on the digital ICU in our hospital ICU implementation of key indicators of cluster monitoring and management information for first months the baseline data were compared before and after each index improvement and effect.ResultsCompared with the pre-implementation period and the baseline survey period, the monitoring times continued to increase by 6 times compared with the baseline. The overall correct implementation rate of the centralized monitoring bundle was increased from 88 %（20859/23562） to 98 %（107436/109629）from the baseline survey period to July, and the overall correct implementation rate was maintained at about 98 % from July to October.ConclusionThe management model based on the cluster monitoring of the key indexes of digital ICU can help to improve and improve the medical quality of ICU effectively and continuously, which is beneficial to the management of medical quality in ICU.