基于信息化平台院内静脉血栓栓塞风险管理系统的构建及应用

Development of Information-based Nosocomial Venous Thromboembolism Risk Management System

目的构建院内静脉血栓栓塞风险管理信息系统,探讨其临床实践中的应用效果。方法构建基于信息化平台的院内静脉血栓栓塞风险管理系统,对住院患者进行静脉血栓栓塞风险评估,比较风险管理信息系统应用前后护士静脉血栓栓塞评估耗时,科室静脉血栓栓塞评估率占比,静脉血栓栓塞上报率以及护理人员对静脉血栓栓塞防护知识掌握情况。结果统计分析全院静脉血栓栓塞风险评估数据库发现,风险管理信息系统应用后,患者评估、数据整理和结果处理耗时均明显减少,差异有统计学意义(t=35.340、5.385、14.706,P<0.05);静脉血栓栓塞风险评估率高的科室个数明显增多,差异有统计学意义(Z=3.760,P<0.001);静脉血栓栓塞上报率差异有统计学意义(χ2=133.669,P<0.05),护理人员对于静脉血栓栓塞相关的基本概念、风险因素、预防、临床表现及静脉血栓栓塞护理5个维度分数差异均有统计学意义(t=6.060、5.347、6.121、11.590、4.300,P<0.05)。结论静脉血栓栓塞风险管理信息化平台的应用,能够有效提升静脉血栓栓塞管理水平,降低住院患者静脉血栓栓塞的发生率,提高患者静脉血栓栓塞的防治工作质量,保障患者安全。

Objective To establish a nosocomial information platform of venous thromboembolism(VTE)risk assessment and management system and explore its application effect in clinical practice.Methods A VTE risk assessment and management system based on information platform was constructed,and VTE risk assessment was conducted for hospitalized patients.The comparison of VTE assessment time,the proportion of VTE department assessment rate,VTE case reporting rate and VTE-related knowledge of nurses before and after the application of the platform were conducted.Results After the application of VTE risk assessment and management system,the time for VTE risk assessment,data collection and processing was significantly reduced,and the difference was statistically significant(t=35.340,5.385,14.706,P<0.05).There were more departments with high rate of VTE risk assessment(Z=3.760,P<0.001)and the difference of reporting rate of VTE cases before and after the application indicated statistical significance(χ^2=133.669,P<0.05).The difference in scores of five dimensions of VTE-related knowledge,including basic concept,risk factors,preventive measures,clinical manifestations and VTE nursing measures was statistically significant(t=6.060,5.347,6.121,11.590,4.300,P<0.05).Conclusion The application of VTE risk assessment and management system is conducive to the control of high-risk risk factors for VTE,which can effectively improve the management of VTE,reduce the occurrence of VTE in hospitalized patients and ensure the safety of patients.