"全链智控"重症护理信息数据的设计及临床应用

Design and clinical application of"whole chain intelligent control"information data on critical care

目的评估重症护理信息数据"全链智能"管理设计方案的临床应用价值,为护士如何完善工作方式,提升数字化工作效率提供依据.方法以护士为主导,联合计算机工程师搭建数据联通渠道,可在重症护理信息系统中自动抓取目标数据,集成在护理文书上,实现护理数据获取-汇总统计-质控分析的"全链智控",一键生成结构化交班内容.比较应用"全链智控"前后护士护理书写时间、护士分析数据时间、护理文书合格率及护士交班内容准备时间的差异.结果观察组运行"全链智控"后护士护理书写时间、分析数据时间和交班内容准备时间均较对照组明显缩短[护理书写时间(min):14.60±3.97比51.94±6.24,分析数据时间(min):9.19±4.19比26.74±5.84,护理交班准备时间(min):12.44±5.04比66.99±6.77],差异均有统计学意义(均P<0.01),文书合格率较对照组明显升高[97.06%(66/68)比85.29%(58/68),P<0.05].结论构建重症护理信息数据"全链智控"机制,保障患者数据的准确性,提升护理工作效率,让护士留有更多时间给患者,为创造全数字化重症监护病房(ICU)管理奠定基础.

Objective To evaluate the design scheme of information data on critical care under the whole chain intelligent management and its clinical application value,and provide the basis for improving nurses'work mode and enhancing digital work efficiency.Methods A data connectivity channel was constructed by taking nurses as the main body and cooperating with computer engineers,which could capture target data automatically in the critical care information system,integrate into nursing documents,achieve the"whole chain intelligent control"of nursing data acquisition-summary statistics-quality control analysis,and generate structured handover content with one key.The time of nurses writing nursing records,the time of nurses analyzing data,the qualified rate of nursing documents,and the time of nurses preparing handover content were compared before and after the application of the"whole chain intelligent control".Results After applying the"whole chain intelligent control",the time of nurses writing nursing records,analyzing data,and preparing handover content in the observation group was all obviously shorter than that in the control group[the time of writing nursing records(minutes):14.60±3.97 vs.51.94±6.24;the time of analyzing data(minutes):9.19±4.19 vs.26.74±5.84;the time of preparing handover content(minutes):12.44±5.04 vs.66.99±6.77],with statistically significant differences(all P<0.01).The qualified rate of nursing documents in the observation group was remarkably higher than that in the control group[97.06%(66/68)vs.85.29%(58/68),P<0.05].Conclusion The construction of the mechanism of the"whole chain intelligent control"for information data on critical care can guarantee the accuracy of patient data,enhance nursing work efficiency,and give nurses more time for patients,thus laying the foundation for the establishment of fully digital intensive care unit(ICU)management.