中国血液净化

中国血液净化 ›› 2015, Vol. 14 ›› Issue (12): 710-712.doi: 10.3969/j.issn.1671-4091.2015.12.003

• 临床研究 • 上一篇    下一篇

血液透析中心信息化管理系统的应用及对提高患者透析质量的作用

申伟,肖观清,黄雪芳,黎晓磊,谢超,李燕,叶燕,林宁,孔耀中   

  1. 广东省佛山市第一人民医院肾内科
  • 收稿日期:2015-09-02 修回日期:2015-10-27 出版日期:2015-12-12 发布日期:2015-12-12
  • 通讯作者: 孔耀中kyzhong@fsyyy.com E-mail:kyzhong@fsyyy.com

The practice of dialysis information management system and its impact on dialysis quality

  • Received:2015-09-02 Revised:2015-10-27 Online:2015-12-12 Published:2015-12-12

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摘要： 目的探讨血液透析中心信息化管理系统的应用对整个透析中心的影响。方法佛山市第一人民医院血液透析中心于2012 年引进北京汇百通公司血液透析中心信息管理软件系统。对比使用血液透析中心信息化管理系统前后，人力资源、医疗记录完整性以及患者透析质量的变化，以了解该系统的应用效果。结果该系统的应用可提高工作效率和患者总体透析质量，节省医护人员的人力资源，同时还有助于确保医疗信息得到完整、准确的记录和保存，对比使用信息化管理系统1 年前后的资料，本中心患者贫血达标率(34.6% vs. 55.9%，χ2=25.180，P =0.000)和透析充分性达标率(44.8% vs. 70.7%，χ2=37.895，P =0.000)有显著的提高，营养达标率(84.8% vs. 90.3%，χ2=3.958，P =0.032)和高磷血症控制达标率(38.2% vs. 45.5%，χ2=2.980，P =0.05)也有明显改善。结论该信息化管理系统的应用有助于提
高血液透析中心的运行效率及透析质量，部分问题还需进一步解决。

关键词: 血液透析, 信息化管理, 质量控制

Abstract: Objective This study aims to evaluate the impact of the dialysis information management system on quality of dialysis center. Methods The dialysis information management system (Beijing Huibaitong Company) has been used in the Dialysis Center, the First People’s Hospital of Foshan since 2012. We compare the data before and after the application of this system, including change of manpower resource, integrity of treatment records, and the dialysis quality for patients. Results The application of this information management system increases work efficiency, improves the integral quality of dialysis, saves manpower
resources, and ensures the integrity and accuracy of hemodialysis records. After use of this information management system for one year, the levels arriving to the standard requirements change from 34.6% to 55.9% (χ2=25.180, P=0.000) for hemoglobin, from 44.8% to 70.7% (χ2=37.895, P=0.000) for dialysis adequacy, and from 38.2% to 45.5% (χ2=2.980, P=0.05) for control of hyperphosphatemia. Conclusion The application of the dialysis information management system promotes service efficiency and dialysis quality. However, there are still some obstacles to be solved.

Key words: hemodialysis, information management, quality control