Optimizing informationized disease management system on venous thromboembolism based on action research method and its effect evaluation
Haibo Deng, Yaping Chen, Bingdu Tong, Yuan Xu, Xiaojie Wang, Yufen Ma
Published 2019-10-06
Cite as Chin J Mod Nurs, 2019, 25(28): 3627-3631. DOI: 10.3760/cma.j.issn.1674-2907.2019.28.014
Abstract
ObjectiveTo explore the application of action research method in optimizing informationized disease management system on venous thromboembolism (VTE) and to improve the VTE disease management.
MethodsBy convenience sampling, 50 nurses and 235 patient profiles in Peking Union Medical College Hospital from January 2015 to March 2017. According to the framework of action research method, firstly, the problems of VTE disease management system were clarified, and the system improvement plan was designed and implemented by means of literature review and expert meeting, etc. Through the two cycle processes of plan-action-observation-reflection (the first round and the second round) , the informationized VTE disease system was continuously improved. The observation indicators were the completeness rate of patient profiles content, the accuracy rate of Caprini risk assessment, the accuracy rate of arm/leg circumference measurement, the filling time of reporting part and the filling time of daily tracking part. The data collection time was before intervention, after the first and second rounds of intervention.
ResultsThrough the first round of action research, we improved the VTE information disease management system, and raised the content integrity rate of the reporting system from 72.00% to 100.00%; the correct rate of risk assessment from 68.00% to 91.11%, and the correct rate of arm/leg circumference measurement from 62.00% to 97.04%, the differences were statistically significant (P<0.05) . Through the second round of action research, the intelligence of the system increased, the filling time of the reporting part shortened from (107.32±8.07) s to (80.50±7.25) s, and the filling time of the daily tracking part shortened from (53.38 ± 6.37) s to (29.08 ±4.65) s, with statistically significant differences (P<0.05) .
ConclusionsAction research method is an effective way to solve practical and multi-disciplinary cooperation problems. Based on action research method, improving and optimizing VTE disease management system can be applied to clinical practice and improve the quality of disease management.
Key words:
Nursing management research; Venous thromboembolism; Informationization; Disease management system; Optimize; Action research
Contributor Information
Haibo Deng
Department of Cardiac Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
Yaping Chen
Department of Orthopaedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
Bingdu Tong
Department of Orthopaedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
Yuan Xu
Department of Orthopaedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
Xiaojie Wang
Department of Breast Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
Yufen Ma
Department of Nursing, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
