Abstract:

Objective To conduct closed-loop management for breastfeeding in NICU using the concept of closed-loop information management to ensure the safety of breastfeeding and improve the efficiency of nursing work.Methods A multidisciplinary collaborative management team was established,existing problems in original breastfeeding management procedure were analyzed,and a closed-loop management information scheme for breastfeeding was established and developed. Information sharing between nursing information system and doctors’ order system was realized. Doctors’ orders for breastfeeding and formula were scientifically integrated.Results From January to December,2016,before implementation of closed-loop information management of breastfeeding,there were 1 accident and 2 near miss due to breastfeeding information checking errors. After implementation,from January to December,2017,breastfeeding-related accidents and near miss were reduced to 0 case. Before implementation,volume of breast milk collection,transcription of feeding list,computer entry of implementation of doctor’s orders for feeding were manually calculated,working hours were 2 per day,and working hours for calculation of breastfeeding rate were 8 per month. After implementation,the system automatically generated the information without manually calculation.Conclusion Application closed-loop information management for breastfeeding can ensure breastfeeding safety and reduce the workload of nursing staff.

Key words: Intensive Care Units, Neonatal, Breastfeeding, Closed Loop, Nursing Informatics, Nursing Administration Research

摘要：

目的 运用母乳喂养闭环信息化管理理念对NICU母乳喂养进行闭环管理,保障患儿喂养安全,提高护理工作效率。方法 成立多学科合作管理小组,分析原母乳喂养管理流程中存在的问题,构建母乳喂养闭环信息化管理方案,开发母乳喂养闭环信息化管理系统,实现护理信息系统与医嘱信息系统共享,母乳喂养医嘱与配方奶医嘱科学结合。结果 2016年1月—12月实施母乳喂养闭环信息化管理前,因母乳喂养信息核对环节错误发生意外事件1例,近似错误2例。2017年1月—12月实施母乳喂养闭环信息化管理后,未发生母乳喂养相关的意外事件及近似错误。实施母乳喂养闭环信息化管理前,需人工统计母乳收集量、抄写喂养单、录入喂养医嘱执行情况,每日工作时数为2 h,母乳喂养率统计每月工作时数为8 h。实施母乳喂养闭环信息化管理后,系统自动生成以上数据,无需人工统计。结论 应用母乳喂养信息化闭环管理能够确保母乳喂养安全,减轻护理人员工作负荷。

关键词: 重症监护病房, 新生儿, 母乳喂养, 闭环, 护理信息学, 护理管理研究