Objective To investigate the real - time monitoring of information technology to control the surgical safety quality. Method Based on problems in surgical safety and quality management, information management system was designed and applied in practice. Real - time monitoring of information was implemented before and after surgery, and case -control analysis was carried based on the patient's quality data. Results After the monitoring of information, the average length of stay after surgery was shorten the 3. Ldays; the surgical morbidity fell from 3.86% to 2.79% (p <0.001) , in which the incidence of serious complications was reduced from 0.8% to 0.59% (p <0.01 ); the mortality was reduced from 0.256% to 0.128% (p<0.005). Conclusion The application of surgical safety quality information control can reduce surgical risk and improve the quality of surgery.%目的 探讨信息化全程实时监控对手术安全质量的作用及意义.方法 根据手术安全质量管理面临的问题,设计信息化管理系统并应用于实践.对实施信息化全程实时监控前后手术患者的质量数据做病例对照调查分析.结果 信息化监控后外科平均住院日较之前缩短3.1 d；手术并发症发生率从3.86％下降到2.79％(P＜0.001),其中严重并发症发生率从0.8％下降到0.59％(p＜0.01)；手术死亡率由0.256％降低至0.128％(p＜0.005).结论 建立健全手术安全质量信息化全程实时监管体系对降低手术风险,提高手术质量,保障手术安全具有现实意义.
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