基于内部控制的护理质量控制信息平台的构建与应用

Construction and application of an information technology platform for nursing management based on internal control theory

目的构建护理质量管理信息平台,提高护理质量管理效果。方法基于内部控制理论及患者安全目标等构建包括质量控制目标、质量检查、培训整改及信息沟通4个模块的护理质量管理信息管理平台;选取2个病区试运行成功后在全院开放应用。1年后评价效果。结果平台应用后跌倒、非计划性拔管、压疮发生率显著下降,护理安全隐患上报率及护理质量评分显著升高(均P<0.01);应用平台的422名护士使用整体满意率达93.84%。结论构建的护理质量管理信息平台适用性良好,可有效降低护理风险,提高护理质量。

Objective To construct an information technology platform for nursing management and to improve the management effect.Methods Based on the internal control theory and patient safety goal,an information technology platform was created,including four modules of quality control goal,quality inspection,training and rectification,and information communication.Two wards were selected for pilot study and then applied in the whole hospital.The effect was evaluated after one year of application.Results The incidence rates of falls,unplanned extubation and pressure ulcer were significantly decreased,whereas the reporting rate of potential nursing safety defects and nursing quality were significantly increased after application of the platform(P<0.01 for all).The overall satisfaction rate of 422 nurses using the platform was 93.84%.Conclusion The information technology platform for nursing management has good applicability,which can effectively reduce nursing risk and improve nursing quality.