Abstract:

Objective To design and develop quality management information platform for gerontological nursing safety,and evaluate the effects of application in order to improve quality management of nursing safety for elderly care. Methods Using safety quality index system for elderly care as the core,a platform with the function of learning and application of safety risk assessment,safety risk prevention,and adverse event report for gerontological nursing was designed and developed. Two medical institutions were selected to carry out a three-month platform application,and the effects of application were evaluated. Results The platform included four major modules. After the test of the platform was completed,14 safety high-risk items for gerontological nursing were identified. Nurses’ knowledge of safety for gerontological nursing was improved（t=4.941,P<0.001）,and the incidence of adverse events for gerontological nursing was decreased（ χ ²=5.860,P<0.05）. Nurses’ satisfaction for the platform was 91.54%. Conclusion The platform could help to screen safety risks for gerontological nursing and enhance gerontological nursing quality,which is an effective tool of quality management for gerontological nursing safety.

Key words: Aged, Safety Management, Nursing Quality, Nursing Informatics, Nursing Administration Research

摘要：

目的 设计开发老年护理安全质量管理信息平台（以下简称平台）,并评价其应用效果,以期提高老年护理安全质量管理水平。 方法 以老年护理安全质量指标体系为核心,设计开发具有老年护理安全风险评估、老年护理安全风险预防知识库和老年护理不良事件上报功能的平台,并选择2所医疗机构试用平台3个月,评价平台应用效果。结果 平台包含4个模块,分别为老年护理安全风险评估系统模块、老年护理安全风险预防知识库模块、老年护理不良事件上报模块和数据统计分析模块。平台应用后筛查出14项老年护理安全高风险项目,护理人员老年护理安全预防知识的掌握情况改善（t=4.941,P<0.001）,老年护理不良事件发生率下降（ χ ²=5.860,P<0.05）,护理人员对平台整体满意度为91.54%。结论 平台有助于筛查老年护理安全风险项目,提升老年护理质量,是老年护理安全质量的有效管理工具。

关键词: 老年人, 安全管理, 护理质量, 护理信息学, 护理管理研究