Development and application of closed-loop execution system of drainage-tube / 中国实用护理杂志

ABSTRACT

Objective Through the design and application of the closed-loop drainage system,the whole process data is extracted from the clinical nursing information system,and the data tracking and quality management of the whole process node are carried out.Methods From October 2015 to February 2017,during the clinical application,the total number of drainage tube closed-loop data was 117 625,the whole process from the drainage tube placement to extubation could be traced,unified the name of drainage tube,statistics days by artificial to information,saved the time of nursing staff,improved the accuracy of channel statistics.The WeChat questionnaire was designed to investigate the satisfaction of nurses on the closed-loop executive system of drainage tube by using the Likert five scale.Results After improvement,saved the time for nursing staff,nurses from the original manual statistics,per capita spent 10 minutes a day to now the computer automatically crawl.After the implementation,nurses thought that the drainage tube assessment more effective overall satisfaction for(4.32±0.99)points;unplanned extubation of patients reporting process more convenient overall satisfaction for(4.22±0.80)points;application of the system more simple and more effective management overall satisfaction respectively for(4.35±0.73),(4.35±0.74)points.The transfer time was(7.85±5.10)minutes before the implementation and(4.53±3.98)min after the implementation,there was significant difference(t=5.68,P＜0.05).The color of drainage tube number was 309.3±204.8,the number of characters was 3020±1 097.Conclusions The establishment and development of drainage tube closed-loop execution system provide a reliable factual basis for clinical medical diagnosis decision;at the same time,the clinical term in classified,the description of the color and character of the drainage-tube has tended to be centralized and unified;improve the work efficiency and patient safety;the quality management system based on process management is generally effective.