静脉血栓栓塞症防控信息化平台的构建与应用

Development and application of Venous Thromboembolism prevention and control information platform

目的:开发静脉血栓栓塞症(Venous Thromboemlism,VTE)防控信息化平台并评价其应用效果。方法:护理部联合医疗质量管理科、信息科设计并开发了由风险筛查评估模块、层级预防知识库模块、查检质量控制模块和信息上报统计分析模块组成的VTE防控信息化平台,在某三级甲等医院2个院区中的10个科室试用6个月后评价其效果。结果:与应用前相比,平台应用后VTE风险评估正确率、动态评估率均提高(P<0.001),中、高风险患者超声结果等待时间和VTE预防措施落实时间均缩短(P<0.001),护士VTE相关知识掌握情况明显改善(P<0.001),VTE发生率由9.95‰下降到7.62‰(P=0.006),护士对平台的整体满意率为90.00%。结论:VTE防控信息化平台有助于医护人员及时动态评估VTE风险,从而有效实施预防措施,降低VTE发生率,是VTE护理安全质量管理的有效工具平台。

Objective:To develop Venous Thromboembolism(VTE)prevention and control information platform and evaluate its application effects.Methods:The nursing department together with the medical quality management department and the information department jointly designed the VTE prevention and control information platform,which was composed of risk screening and evaluation module,hierarchical prevention knowledge base module,inspection quality control module and information reporting statistical analysis module.The application effect of the platform was evaluated by selected 10 departments in 2 hospital districts of a tertiary grade A hospital for 6 months.Results:After the test of the platform was completed,VTE risk evaluation accuracy and dynamic evaluation rate were improved(P<0.001).The waiting time for ultrasound examination and the prevention start time for medium and high-risk patients were shortened(P<0.001).Nurses'specialized knowledge of VTE was improved(P<0.001),and the incidence of VTE was decreased from 9.95‰to 7.62‰(P=0.006).Nurses'satisfaction for the platform was 90.00%.Conclusion:The platform could help timely and dynamically assess the risk of VTE,effectively implement the prevention measures,reduce VTE incidence,which is an effective tool platform for VTE nursing safety and quality management.