Previously submitted to: JMIR Medical Informatics (no longer under consideration since Jun 23, 2021)
Date Submitted: Apr 6, 2020
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Application of Hospital Information Intelligent Management System Used in Promoting the Rational Application of Intravenous Drugs for Nurses in Public Health Clinical Center
ABSTRACT
The study aims at exploring the positive role of PDCA (Plan, Do, Check and Act) circulation theory based on hospital information intelligent management system in promoting the rational application of intravenous drugs when it is used in the nursing work of public health clinical center. Firstly, the regional functions and application fields of the hospital information intelligent management system in the current environment were analyzed. On this basis, the theory of PDCA circulation under hospital information intelligent management system was put forward to apply to nursing work and play a positive role in nursing operation standard. The focus of the study was to promote the rational application of intravenous drugs among nursing staff, and the application data of intravenous drug among nursing staff under the same background and different management schemes were selected as the research objects, which were divided into the PDCA cycle theory pre-intervention group and post-intervention group. Through the statistical comparison of the error data of medical advice and nursing work, the role of PDCA circulation theory intervention in promoting the rational application of intravenous drugs in nursing staff was analyzed. The results showed that after the one-year PDCA cycle theoretical intervention, both the number of unreasonable medical advices and the rate of unreasonable medical advices showed a decreasing trend, the rate of correction of medical advices of nursing staff increased from 54.5% to 87.8%, the overall incidence of nursing errors significantly decreased, and the difference was statistically significant (P<0.05). At the same time, it was found that after the intervention of PDCA cycle theory, the working time of each link of nursing staff was significantly shortened and the working efficiency was significantly improved. Therefore, based on PDCA circulation theory, hospital information intelligent management system promote the rational application of intravenous drugs, which is applied in the process of intravenous drug preparation and medical order execution of nurses in the public health clinical center of the hospital. It can reduce the probability of nursing errors, promote the rational and standardized application of intravenous drugs, and help to improve the overall nursing level, and it is worthy of clinical promotion and application.
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