目的:探讨信息技术(IT)在急诊实验室检测程序中的应用效果。
方法:在本研究中,在2021年10月至12月期间实施了基于IT的应急实验室测试流程优化。因此,2021年1月至9月的紧急实验室测试报告被放入预优化组,而2022年1月至9月的那些被归类为优化后的组。此外,紧急实验室测试报告时间,应急实验室检测报告时限符合率,错误率,以及员工和患者在个别月份和整个期间的满意度水平进行了描述。此外,探讨了实施基于IT的优化前后上述指标的变化,并对基于IT的优化的应用效果进行了评价。
结果:实施基于IT的优化后的急诊实验室检测报告时间短于基于IT的优化前(P<0.05)。信息优化前后实验室检测项目总数分别为222,139项和259,651项。此外,基于IT的优化导致应急实验室检测报告时限符合率从98.77%提高到99.03%(P<0.05)。急诊实验室检测报告差错率从0.77分降至0.15分(P<0.05)。此外,基于IT的优化提高了员工满意度,从80.65%到93.55%(N=31,P>0.05),患者满意度,从93.06%提高到98.44%(P<0.05)。
结论:紧急实验室检测流程的自动化和基于IT的优化显著减少了紧急实验室检测报告时间和错误率。此外,IT驱动的优化增强了紧急实验室测试报告截止日期的一致性,并提高了紧急实验室测试的整体质量和安全性。
To explore the application effects of information technology (IT) on emergency laboratory testing procedures.
In this study, IT-based optimisation of the emergency laboratory testing process was implemented between October and December 2021. Thus, the emergency laboratory test reports from January to September 2021 were placed into the pre-optimised group, while those from January to September 2022 were categorised into the post-optimised group. Besides, the emergency laboratory test report time, emergency laboratory test report time limit coincidence rate, error rate, and employee and patient satisfaction levels in individual months and across the whole period were described. Moreover, changes in the above indicators before and after the implementation of IT-based optimisation were explored and the application effects of IT-based optimisation were also evaluated.
The emergency laboratory test report times after the implementation of IT-based optimisation were shorter than those before IT-based optimisation (P < 0.05). The total number of laboratory test items before and after information optimization amounted to 222,139 and 259,651, respectively. Also, IT-based optimisation led to an increase in the emergency laboratory test report time limit coincidence rate from 98.77% to 99.03% (P < 0.05), while the emergency laboratory test report error rate fell from 0.77‱ to 0.15‱ (P < 0.05). Additionally, IT-based optimisation resulted in increases in both employee satisfaction, from 80.65% to 93.55% (N = 31, P > 0.05), and patient satisfaction, from 93.06% to 98.44% (P < 0.05).
The automation and IT-based optimisation of the emergency laboratory testing process significantly reduces the emergency laboratory test report time and error rate. Additionally, IT-driven optimization enhances the alignment of emergency laboratory test report deadlines and enhances the overall quality and safety of emergency laboratory testing.