智能化辅助采集系统在临床生命体征监测中的应用

Application of intelligent assistant acquisition system in clinical vital signs monitoring

目的:减少临床护士对患者体征测量不及时、护理文书内容不准确等一系列问题,辅助临床护士进行患者每日体温、脉搏等生命体征数据采集。方法:开发一套与医院护理信息系统结合的生命体征辅助采集系统,利用系统自动获取的患者医嘱、病情、手术记录等个人信息,并与护理规范相适应,通过算法智能化得出患者每日体征测量类型、时间、频次,并及时提示操作者。结果:该系统应用后,临床护士个人护理操作不规范、护理文书填写不及时等问题明显减少,护士每日完成护理文书记录时长明显缩短,科室护理文书完整率明显提高,差异具有统计学意义(P<0.05),大大提高了护士工作效率与护理工作质量。结论:智能化生命体征辅助采集系统提高了护理文书书写的完整性、及时性,用户体验好。

Objective To reduce a series of problems such as clinical nurses'untimely measurement of patients'physical signs and inaccurate contents of nursing documents,and to facilitate clinical nurses in collecting the daily vital signs data such as body temperature and pulse of patients.Methods A set of vital signs assistant acquisition system integrated with hospital nursing information system was developed to automatically obtain personal information such as patient's medical orders,conditions and surgical records,which were compatible with nursing norms.The type,time and frequency of daily signs measurement were obtained intelligently by algorithm and the operator was prompted in time.Results After the applicaiton of this system,the problems of irregular nursing operation and untimely filling of nursing documents by clinical nurses were significantly reduced,the length of time for nurses to complete the nursing document records per day was significantly shortened,and the completeness rate of nursing documents in the department was significantly improved,with statistically significant differences(P<0.05),which greatly improved the efficiency and the quality of nursing work.Conclusion The intelligent vital signs assistant acquisition system can improve the integrity and timeliness of nursing writing,with good user experience.