Development and evaluation of a whole-chain management system for critical value reporting.

IF 3.3 3区医学 Q2 MEDICAL INFORMATICS

BMC Medical Informatics and Decision Making Pub Date : 2025-02-27 DOI:10.1186/s12911-025-02936-6

Dongdong Wu, Feng Zhu, Yifan Sheng, Weiwei Zhang, Hanbo Le, Guoqiang Zhang, Lei Wang, Boer Yan

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引用次数: 0

Abstract

Background: Critical value (CV) management is vital for patient safety and shows the quality of critical care. This study aimed to develop a whole-chain management system (WCMS) for CV reporting and evaluate its impact on clinical practice.

Methods: A WCMS for CV reporting, considering sample, process and patient population, was developed. A quasi-experimental study was conducted at Zhoushan Hospital. 591 CVs were divided into two groups: the postapplication group (n = 298) and the preapplication group (n = 293). CV quality-related indicators were compared between the two groups, including the timely reporting rate, timely receiving rate, timely treatment rate, completeness of treatment records and closed-loop rate.

Results: Before system implementation, the timely treatment rate (93.17%), completeness of treatment records (78.16%), and closed-loop rate (88.05%) were lower than the timely reporting rate (94.54%). After implementation, there were significant differences between the two groups in timely reporting rate (94.54% vs. 97.99%, P < 0.05), timely treatment rate (93.17% vs. 97.65%, P < 0.01), completeness of treatment records (78.16% vs. 94.97%, P < 0.01), and closed-loop rate (88.05% vs. 97.32%, P < 0.01).

Conclusion: Implementing the WCMS from sample, process and patient population has improved patient safety. The system's successful integration also shows its potential for use in health information systems of various healthcare facilities.

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关键价值报告全链管理系统的开发和评估。

背景：临界值（CV）管理对患者安全至关重要，并显示了重症监护的质量。本研究旨在开发CV报告的全链管理系统（WCMS），并评估其对临床实践的影响。方法：考虑样本、流程和患者群体，开发了CV报告的WCMS。在舟山医院进行准实验研究，将591名简历分为申请后组（n = 298）和申请前组（n = 293）。比较两组患者CV质量相关指标：及时报告率、及时接诊率、及时治疗率、治疗记录完整度、闭环率。结果：系统实施前，及时治理率（93.17%）、治疗记录完成率（78.16%）、闭环率（88.05%）均低于及时报告率（94.54%）。实施后，两组患者的及时报告率差异有统计学意义（94.54% vs. 97.99%）。结论：从样本、流程和患者群体三个方面实施WCMS提高了患者的安全性。该系统的成功集成也显示了它在各种卫生保健设施的卫生信息系统中使用的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Medical Informatics and Decision Making 医学-医学：信息

CiteScore

7.20

自引率

5.70%

发文量

297

审稿时长

1 months

期刊介绍： BMC Medical Informatics and Decision Making is an open access journal publishing original peer-reviewed research articles in relation to the design, development, implementation, use, and evaluation of health information technologies and decision-making for human health.