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| 重症护理观察记录智能化模式之优化 | |
| 引用本文： | 刘薇群,吕剑虹,肖松梅,江会,王小芳,罗玲,程卢山. 重症护理观察记录智能化模式之优化[J]. 中国护理管理, 2011, 11(6): 51-52 |
| 作者姓名： | 刘薇群 吕剑虹 肖松梅 江会 王小芳 罗玲 程卢山 |
| 作者单位： | 1. 上海市东方医院护理部,200120 2. 上海市东方医院中心ICU,200120 3. 上海市东方医院心血管ICU,200120 4. 上海市东方医院ICU,200120 5. 同济大学医学院 |
| 摘 要： | 目的:通过信息技术,完善系统智能化建设,有效提高重症护理观察记录的效率和质量。方法:确定研究建立的需求,完成系统优化。结果:完成对重要、典型数据的跟踪、记录;护理措施一键式录入等8个项目的建立、改进;试用半年,ICU责任护士减少记录时间约70min;用视觉模拟评分法进行评价,护士认可度达9.2分。结论:减少责任护士的记录时间,减轻护士的工作压力,改善重症护理观察记录的质量。让护士有更多的时间和精力,为病人提供直接护理,为病人得到优质护理服务提供保证。 |
| 关 键 词： | 重症护理 信息化 护理书写 |
Model optimization of intensive care observation records |
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| LIU Wei-qun,LV Jian-hong,XIAO Song-mei,Nursing Department,Shanghai East Hospital,Shanghai, China. Model optimization of intensive care observation records[J]. Chinese Nursing Management, 2011, 11(6): 51-52 | |
| Authors: | LIU Wei-qun LV Jian-hong XIAO Song-mei Nursing Department Shanghai East Hospital Shanghai China |
| Affiliation: | LIU Wei-qun,LV Jian-hong,XIAO Song-mei,Nursing Department,Shanghai East Hospital,Shanghai,200120 China |
| Abstract: | Objective: To improve recording efficiency and quality of the intensive care observation through information technology and construction of system intellectualization.Methods:We determined developing needs and completed system optimization. Results:We developed and improved eight projects, including tracking and recording important andtypical data and a key type recording system of nursing intervention etc. We had put thesystem on trial for half a year and the results showed that it could reduce primary nur... |
| Keywords: | Intensive care informatization nursing records |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |