儿科门诊静脉血管分级与护士能级匹配系统的构建及应用

目的构建儿科门诊静脉血管分级与护士能级匹配系统,为患儿自动精确匹配最佳穿刺护士,提高静脉穿刺成功率。方法建立患儿血管分级及护士穿刺能级标准,并构建血管分级与护士能级匹配系统,包括血管分级数据模块、护士穿刺能级数据模块及输液室决策支持模块,通过儿科门诊输液护理管理信息系统和HIS系统进行数据对接和传输,系统自动生成每例患儿的推荐穿刺护士。统计并比较系统应用前后护士每班平均穿刺例次、人均一次穿刺成功率、静脉穿刺相关护理投诉、护士满意度和患儿及家长对护理工作满意度。结果应用后护士日均每班穿刺例数、人均一次穿刺成功率显著高于应用前(P<0.05,P<0.01),患儿家长对护理工作满意度及护士工作满意度均提高。结论儿科门诊静脉血管分级与护士能级匹配系统的建立,能提高静脉一次穿刺成功率,改善外周静脉管理质量,并最终提高护患双方的满意度。

Construction and application of a venous vascular grading and nurse competence matching system in pediatric outpatient department

Objective To construct a venous vascular grading and nurse competence matching system in pediatric outpatient department,so as to match the best nurse for children automatically and precisely,and improve the success rate of venipuncture.Methods We established the pediatric vascular grading and nurse puncture competence criteria,and constructed a venous vascular grading and nurse competence matching system,including vascular grading data module,nurse puncture competence data module and infusion room decision support module,then the data were integrated and transferred via pediatric outpatient transfusion nursing management information system and HIS,and the system recommended a matching puncture nurse for each child.The number of punctures per day per nurse,the first puncture success rate,the complaint reports of punctures and the satisfaction of nurses and children′s parents before and after using the system were calculated and compared.Results After using the system,the daily average number of punctures per nurse and the first puncture success rate were significantly higher than those before using the system(P<0.05,P<0.01),parents′satisfaction towards nursing work and nurses′job satisfaction were improved.Conclusion Construction and application of the venous vascular grading and nurse competence matching system in pediatric outpatient department could increase the first puncture success rate,enhance the management quality of peripheral vein,and finally improve satisfaction of nurses and parents.