基于数据决策模型的患者体内置管安全管理探讨

Discussion on Safety Management of Patient Internal Catheterization Based on Data Decision-Making Model

目的探讨基于数据决策模型的患者置管安全管理与效果。方法基于数据决策模型构建医院导管质量安全管理数据库,实现数据引领决策。选取2019年1月—2020年12月带管住院患者为对照组,采用常规的置管安全管理措施,2021年1月—2022年12月带管住院患者作为观察组,实施数据引导的导管质量安全管理措施。结果非计划拔管风险评估正确率和预防措施落实率呈良性趋势,观察组所有导管非计划拔管发生率以及经口经鼻胃肠导管、气管导管和尿管非计划拔管发生率均下降,差异有统计学意义。CVC和PICC非计划拔管发生率较实施前有所下降,差异无统计学意义(p﹥0.05)。结论以数据监测为导向构建导管质量安全数据库,助力置管安全管理,有效提高了患者导管管理质量,降低了非计划拔管发生率,保障了患者安全。

Objective To explore the safety management and effect of patient catheterization based on data decision-making model.Methods Constructed a hospital catheter quality and safety management database based on data decision-making model to realize data-led decision-making.Patients hospitalized with catheters from January 2019 to December 2020 were selected as the control group,and conventional catheter safety management measures were adopted,and patients hospitalized with catheters from January 2021 to December 2022 were selected as the observation group,and data-led catheter quality and safety management measures were implemented.Results The correct rate of unplanned extubation risk assessment and the implementation rate of preventive measures showed a benign trend,and the incidence of unplanned extubation of all catheters,as well as the incidence of unplanned extubation of oral and nasal gastrointestinal catheters,tracheal catheters and urinary catheters declined in the two groups,with statistically significant differences.The incidence of unplanned extubation of CVCs and PICCs declined compared with that before the implementation,and the differences were not statistically significant(p>0.05).Conclusion Data monitoring-oriented construction of catheter quality and safety database,help the safety management of catheterization,effectively improve the quality of catheter management,reduce the incidence of unplanned extubation,and ensure patient safety.