Objective To develop a data table system for monitoring the quality of pediatric intravenous infusion process and to evaluate its clinical effectiveness. Methods The data table system was designed to monitor the whole process of intravenous infusion by automatically capturing data from administration,inspection to completion,followed by the generation of personal digital assistant（PDA） scan identification data table and infusion inspection data table. The data table system was put into use since December,2020 in a tertiary children’s hospital in Shanghai. Data collected from October to November,2020 were compared with that from March to April,2021 in terms of PDA scanning rates at the beginning and end of intravenous administration,qualified rate of the number of intravenous infusion inspection,and accuracy rate of intravenous infusion inspection timing. The Effectiveness Evaluation Scale of Clinical Nursing Information System was used to evaluate nursing managers’ satisfaction. Results The PDA scanning rate at the beginning of intravenous administration was improved from 96.76% to 99.96%（P<0.001）;the PDA scanning rate at the end of intravenous administration was improved from 97.88% to 98.82%（P<0.001）;the qualified rate of the number of intravenous infusion inspection was improved from 57.96% to 66.85%（P<0.001）;the accuracy of intravenous infusion inspection time was improved from 95.68% to 96.79%（P<0.001）. The satisfaction score of nursing managers with the data table system was（95.25±0.08）. Conclusion The development of the data table system could help nursing management departments facilitate the use of the clinical data in order to continuously improve the nursing quality and nurses’ behavior. With the help of information service,the data table system for monitoring nursing quality provided a better user experience.

Objective To translate the Psychosocial Risk Assessment in Pediatrics （PRAP） into the Chinese version,and to test its reliability and validity. Methods The Chinese version of PRAP was formed after translation and cultural adjustment authorized by the original author. 167 children from Children’s Hospital in Shanghai from March to May 2021 were selected by convenience sampling method to evaluate the reliability and validity of the scale. Results The Chinese version of PRAP included 8 items,namely temperament,anxiety and coping during healthcare context,past health experience,developmental impact,special needs,communication,invasive procedure/experience and parent/caregiver stress. The Cronbach’s α was 0.711 and the half reliability was 0.626;the inter rater reliability of 5 investigators showed that the Kendall coefficient was 0.963 and the chi square value was 43.325;the difference was statistically significant（P<0.001）. The content validity index of each item is 0.90~1.00. The average content validity index of the scale is 0.95. There were 3 common factors being extracted by exploratory factor analysis,and the cumulative variance contribution rate is 62.686%. Conclusion The Chinese version of PRAP has good reliability and validity,and it can be used as an evaluation tool to evaluate the psychosocial risks of pediatric patients regarding to medical procedure in China.

Objective To construct a decision support system for pain management in hospitalized children and to evaluate its effects. Methods Based on the theory of pain management and clinical decision support technology,a new pain management information system was constructed,integrating all aspects of nursing procedure,order processing and nursing task list. The system was trial-run in a tertiary comprehensive pediatric hospital from September 2018 to November 2019. The application effect of the new system was evaluated and compared through the quality of nursing document writing,the timeliness of doctor’s order processing and the experience of nurses before and after the use of the new system. Results After the application of the decision support system for pain management of hospitalized children,the quality of nursing document writing was significantly improved（P<0.05）;the timeliness of medical order processing before and after the use was 100%,and the difference was not statistically significant（χ²=0.012,P=0.913）;in the using experience of clinical nurses,the dimensions of "information quality","service quality","user satisfaction" and "net income" were improved. The differences were statistically significant（P<0.05）. Conclusion The new pain management decision support system improves the homogeneity,continuity,integrity and timeliness of pain management for hospitalized children,and nurses have good overall experience of this system.

Objective To build a knowledge base of nursing procedures in pediatric hyperthermia based on Clinical Care Classification（CCC） 2.5 version. Methods With the common symptoms of pediatrics “axillary temperature≥37.5 ℃” as the research content,the research team summarized all the specific nursing measures related to "axillary temperature≥37.5 ℃" combined with clinical nursing routine and hospital management system based on CCC 2.5 version by evidence-based nursing method. Based on the definition of "axillary temperature≥37.5℃" related nursing diagnosis,core nursing interventions,modifiers of nursing activity types and modifiers of nursing outcomes in CCC 2.5,the first draft of knowledge base of "pediatric hyperthermia" nursing procedures was constructed.According to the coding rules of "code of specific nursing measures=code of core nursing interventions +code of modifiers of nursing activity type" and "code of nursing outcomes=code of nursing diagnosis+code of nursing outcome modifiers" in CCC 2.5,the first draft of the knowledge base was coded. After that,the expert consultation meeting was held to evaluate,discuss and revise the draft content and code of the knowledge base,and the final draft of the knowledge base was determined. Results The final draft of the knowledge base of pediatric "hyperthermia" nursing procedures includes 1 nursing diagnosis,19 specific nursing measures and 4 nursing outcomes. Conclusion The knowledge base of pediatric "hyperthermia" nursing procedures is professional,scientific and practical,which standardizes nursing language and facilitates information sharing.

Objective To construct the nursing monitoring data collection model of pediatric intensive care units and carry out clinical application,so as to improve the recording quality of medical and nursing data of critically ill children in ICU and the working efficiency of medical staff. Methods On the basis of the clinical information system（CIS）,a modern,informationalized and integrated mobile nursing system was established for the process construction of rescue mode,resuscitation mode,blood transfusion mode and special mode. Data collection patterns and nurses’ satisfaction were investigated from January 1,2019 to January 1,2020 in the ICU in different clinical scenarios. Results The rescue mode was started for 328 times;blood transfusion mode was started for 8 014 times;recovery mode was started for 1 622 times. A total of 4 323 cases were recorded by electronic medical records,including 1 793 cases of PICU,1 600 cases of NICU and 930 cases of CICU. The overall satisfaction score of nurses to the nursing monitoring data acquisition mode system was 92.47±1.62 scores. Conclusion The construction of different data collection modes of the PICU effectively integrates the document writing workflow for handling first aid,resuscitation and blood transfusion. The manual and informatic double-checking process ensures the scientific and effective bedside data collection in the ICU. The work procedures of nurses were simplified;the quality of nursing documents was improved;the nurse’s satisfaction with the working environment was improved.