信息技术支持下的PDCA循环在降低护理不良事件漏报中的应用

Application of PDCA Cycle Supported by Information Technology in Reducing Underreporting of Adverse Nursing Events

在信息技术支持下开展降低护理不良事件漏报PDCA项目,结合信息化自动检索,增加筛查方式和范围,找出漏报的主要问题,进行根因分析并落实针对性措施,每季度统计、分析并对比漏报事件(率),总结经验持续改进,循环提升。护理不良事件季度漏报发生率下降,Ⅰ、Ⅱ级护理不良事件季度上报率上升,改进前后护理不良事件年度主动上报率明显提高。加入信息化技术的PDCA循环能保证护理不良事件漏报查找的全面性和客观性,有效降低护理不良事件漏报,提高主动上报率,确保护理不良事件的规范管理。

With the support of information technology,the PDCA project to reduce the underreporting of adverse nursing events was carried out,combined with automatic retrieval of information,increased screening methods and scope,identifi ed the main problems of underreporting,carried out root cause analysis and implemented targeted measures,quarterly statistics,analyze and compare missed-report events(rates),sum up experience and continue to improve,cyclically improve.The quarterly underreporting rate of nursing adverse events decreased,the quarterly reporting rate ofⅠandⅡnursing adverse events increased,and the annual active reporting rate of nursing adverse events before and after the improvement increased signifi cantly.Adding information technology to the PDCA cycle can ensure the comprehensiveness and objectivity of under-reporting of nursing adverse events,eff ectively reduce under-reporting of nursing adverse events,increase the rate of active reporting,and ensure the standardized management of nursing adverse events.