医院信息系统的结构化不良事件管理系统的实践应用研究

Research on the Practical Application of Structured Adverse Event Man⁃agement System in Hospital Information System

目的探讨医院信息系统的结构化不良事件管理系统的实践应用。方法选择濮阳市油田总医院临床医师、临床护士和医技科室工作人员共计120名为研究对象,于2021年1—12月发现并上报的医疗不良事件情况为对照组;于2022年1—12月应用医院信息系统的结构化不良事件管理系统后进行不良事件上报者,设定为观察组。比较两组不良事件单次填写耗时、获得反馈耗时,统计两组对所填表格实用性评价指标,如条目清晰度、重点突出性和内容简便性得分等变化。结果观察组不良事件单次填写耗时、获得反馈耗时均显著短于对照组,差异有统计学意义(P<0.05)。观察组对于不良事件填报过程中量表观察指标中的条目清晰度、重点突出性和内容简便性得分均显著高于对照组,差异有统计学意义(P<0.05)。观察组不良事件上报表填写质量评分为(95.5±3.2)分,高于对照组的(86.8±4.6)分,差异有统计学意义(t=17.008,P<0.05)。结论运用结构化医疗不良事件管理系统,有利于医疗不良事件填报与管理效率/整体填报质量的提高。

Objective To explore the practical application of structured adverse event management system in hospital information systems.Methods A total of 120 clinical physicians,clinical nurses,and medical technology department staff from Puyang Oilfield General Hospital from January to December 2021 were selected as the research subjects,and the medical adverse events discovered and reported by them were used as the control group.From January to December 2022,after applying the structured adverse event management system of the hospital information system,the adverse event reporter was set as the observation group.Compared the time spent on filling out a single adverse event and obtaining feedback between two groups,and calculate the practicality evaluation indicators for the filled forms,such as changes in item clarity,emphasis,and content simplicity scores.Results The observation group had significantly shorter time for filling out a single adverse event and obtaining feedback compared to the control group,the difference was statistically significant(P<0.05).The observation group scored significantly higher than the control group in terms of item clarity,emphasis,and content simplicity in the observation indicators of the scale during the adverse event reporting process,the difference was statistically significant(P<0.05).The quality score of reporting adverse events in the observation group was(95.5±3.2)points,which was higher than that in the control group's(86.8±4.6)points,and the difference was statistically significant(t=17.008,P<0.05).Conclusion The use of a structured medical adverse event management system is beneficial for improving the efficiency and overall quality of medical adverse event reporting and management.