摘要
目的探讨如何利用现代信息化技术实现在手术室对于不良事件或问题的快速、准确、便捷和实时的搜集和反应,在此基础上建立基于围手术期信息管理系统(PIMS)的手术室不良事件报告信息系统。方法在总结和分析医疗不良事件相关文献和政策法规等现有理论的基础上,按照信息驱动流程的设计理念,采用前后端分离技术,基于PIMS自动获取和手动录入不良事件数据,建立包括上报、处理、查询、反馈、统计分析和分类等功能模块,适合手术室工作业务流程的上报系统。结果结合临床实际应用场景,建立了一套基于PIMS的手术室不良事件报告信息系统。结论利用PIMS平台建立不良事件上报信息系统可实现所有操作的线上无纸化上报,最大限度的实现不良事件相关信息的线上追踪溯源。还能根据不良事件的上报数据发现事故隐患或潜在风险,分享经验教训,避免类似事件的再次发生,最大限度的降低不良事件发生率,保障患者安全。
Objective The paper discusses how to use modern information technology to collect and respond to adverse events or problems in the operating room quickly,accurately,conveniently and in real time.On this basis,an operating room adverse event reporting system based on perioperative phase information management system(PIMS)is established.Methods On the basis of summarizing and analyzing the literatures,policies and regulations related to the medical adverse events,and according to the design concept of information driven process,the front-end and rear-end separation technology is used.Based on the automatic acquiring and manual inputting of medical adverse event data in PIMS,a reporting system suitable for operating room workflow is established,which includes reporting,processing,query,feedback,statistical analysis and classification function modules.Results Combined with the clinical application scenario,an operating room adverse event reporting system for PIMS is established.Conclusion The establishment of adverse event reporting system based on PIMS platform can realize online tracking and tracing of the information related to adverse events to the maximum extent.In addition,potential accidents or risks can be discovered according to the reported data of adverse events,and lessons can be shared to avoid the recurrence of similar events,so as to minimize the incidence of adverse events and protect the safety of patients.
作者
陈冬翠
郭文军
冯茂良
CHEN Dongcui;GUO Wenjun;FENG Maoliang(Operating Room,Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangzhou 510060,China;Department of Anesthesiology,Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangzhou 510060,China;Information Department,Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangzhou 510060,China)
出处
《麻醉安全与质控》
2020年第6期356-359,共4页
Perioperative Safety and Quality Assurance
关键词
手术室
不良事件
信息系统
operating room
adverse events
information system
