急诊采血全流程信息化管理实践

Practice of information management of the whole process of blood sampling in emergency department

目的:探讨急诊采血全流程信息化管理方式在急诊患者安全采血流程中的应用效果。方法:采用目的抽样法抽取我院急诊抢救室收治的874例患者为研究对象,将2021年第4季度的患者设为实施前组(n=438),2022年第4季度的患者设为实施后组(n=436),实施前组采用常规采血流程管理,实施后组采用全流程采血信息化管理,对两组不良事件发生率、标本延时送检率、标本送检时效性进行统计分析。结果:实施后组不良事件发生率低于实施前组,患者入抢救室时间至标本采集送出时间短于实施前组,标本延时送检率低于实施前组,标本签收至检验科出具报告时间短于实施前组,差异均具有统计学意义(P<0.05)。结论:在急诊通过全流程信息化管理模式可有效提升检验效率,降低不良事件发生率,保障患者安全。

Objective:To explore the effect of information management in the whole process of blood sampling in emergency department to ensure patient safety.Methods:Purpose sampling was used to select 874 patients admitted to the emergency department for resuscitation and their data were collected for statistical analysis.Patients who visited the resuscitation area in the fourth quarter of 2021 were designated as the control group(n=438),and patients who visited in the fourth quarter of 2022 were designated as the experiment group(n=436).Before the implementation,the group adopted routine blood collection process management,and after the implementation,the group adopted whole-process blood collection information management.The daily number of patients receiving resuscitation and the incidence of adverse events,the timeliness of the delivery of blood samples for blood routine,blood type and blood biochemistry and the delayed specimen delivery rate of the two groups were gathered and compared.Results:After the application of the information management,shorter detention time between patient admission and sample delivery,and a lower rate of delayed specimen delivery.Besides,the experiment group also showed faster results than the control group.All of the differences between the two groups were found to be statistically significant(P<0.05).Conclusion:The whole process information management mode in the emergency department can effectively improve the efficiency of tests,reduce the incidence of adverse events and ensure patient safety.