Application of a QR Code-Based Closed-Loop Management Mode for Intravenous Infusion Safety in Patients in the Gastroenterology Department
基于二维码闭环管理的静脉输液安全模式在消化内科患者中的应用研究

摘要

目的 本研究旨在探索一种基于二维码技术的静脉输液安全管理新路径，通过构建闭环管理模式，并在消化内科临床实践中验证其实际应用价值。方法 本文运用类实验研究，以2025年7月-12月期间我院消化内科收治的需长期输液（输液天数≥5天）的患者共160例为观察对象，将患者分为两组，其中80例作为对照组（执行一般输液管理），80例作为观察组（执行二维码闭环管理模式），对两组患者的输液相关不良事件（包含差错、渗出/外渗、静脉炎）的发生率、护士输液巡视是否符合规范、输液结束处理是否及时以及患者满意程度等方面展开比较。结果 观察组输液相关不良事件总发生率为3.75%，明显低于对照组的13.75%。观察组护士输液巡视规范率（96.25% vs. 81.25%）、输液结束及时处理率（98.75% vs. 85.00%）及患者对输液安全的满意度（93.75% vs. 80.00%）均显著高于对照组。结论 基于二维码的静脉输液闭环管理模式可以实现对输液过程的全程精确监控和即时干预，降低消化内科患者输液风险，提高护理质量和安全性，具有较高的临床应用价值。

Abstract

Objective: This study aimed to explore a novel approach to intravenous infusion safety management utilizing QR code technology, by constructing a closed-loop management mode and validating its practical application value in the clinical setting of the gastroenterology department.
Methods: Employing a quasi-experimental design, 160 patients requiring long-term intravenous infusion (duration ≥5 days) admitted to the gastroenterology department of our hospital from July to December 2025 were enrolled. The patients were divided into two groups: 80 patients in the control group received routine infusion management, while 80 patients in the observation group underwent the QR code-based closed-loop management mode. Comparisons were made between the two groups regarding the incidence of infusion-related adverse events (including errors, infiltration/extravasation, and phlebitis), nurses' compliance with standardized infusion rounds, timeliness of post-infusion handling, and patient satisfaction.
Results: The total incidence of infusion-related adverse events in the observation group was 3.75%, significantly lower than that in the control group (13.75%). The observation group also demonstrated significantly higher rates of nurses' compliance with standardized infusion rounds (96.25% vs. 81.25%), timeliness of post-infusion handling (98.75% vs. 85.00%), and patient satisfaction with infusion safety (93.75% vs. 80.00%).
Conclusion  : The QR code-based closed-loop management mode for intravenous infusion enables precise, real-time monitoring and intervention throughout the entire infusion process. It effectively reduces infusion-related risks and enhances nursing quality and safety for patients in the gastroenterology department, demonstrating substantial clinical application value.