頁籤選單縮合
題名 | 手術前病人準備缺失改善專案=A Project of Improving the Imperfection of Pre-operative Patients' Preparation |
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作者姓名(中文) | 劉玉如; 汪淑蘭; | 書刊名 | 國防醫學 |
卷期 | 31:4 2000.10[民89.10] |
頁次 | 頁332-345 |
分類號 | 419.73 |
關鍵詞 | 手術前準備; 缺失改善; Preoperative preparation; Improve the imperfection; |
語文 | 中文(Chinese) |
中文摘要 | 手術前完整的準備對手術能否順利進行有重要的關係。故降低手術前準缺失的發生率是外科病房重要之工作。本單位於85年1月至86年9月手術前準備缺失共19件,分析原因發現雖病患拒絕或忘記及勤務人員疏失,與部份手術前準備缺失有關,但進一步探討每個案例,即發現均與護理人員工作疏失有關;而造成護理人員工作疏失的原因,則包括:各科手術常規標不一致,分工不詳細致無法按時完成負責之工作,未仔細檢查再作覆查等。因此本專案針對上述原因執行以下改善方案:首先將各科手術常規標準訂定,再將各班負責工作詳細分工,且藉此要求確實完成檢查及覆查;此外並建立一致之手術前護理衛教指導本與品管稽核記錄等方式,以達改善手術前準備缺失發生率低於閾值0.71%之目的。結果發現:實施專案的6個月期間,有651位手術病患,發生手術前準備缺失有2位(0.31%)。與專案實施前6個月,705位手術病患中,發生缺失有5位(0.71%)的情形,相較之下有明顯降低趨勢。因結果低於閾值0.71%可知確時已達改善目的提昇護理品質。本專案確實有著效,今後仍需繼續致力於執行效果之維持。 |
英文摘要 | The complete preparation before an operation has important relationship with a successful operation. To lower the imperfection of a preoperative preparation is the important work of a surgical ward. Our department has found 19 imperfect preparation before the operation from Jan, 1996 to Sep, 1997. According to the analysis, some of the imperfection of preoperative preparations were the patients' refusal and servant's oversight. While further analyzing, the most reason was the oversight of nurse. Reasons of the nurse's oversight included: (1)some didn't finish their own job on time, (2)the division of labor are not clear, (3)the normal order of guidance were not identical and (4)some didn't check and recheck carefully. Therefore, the purpose of this project is to improve the imperfection of preoperative preparation can be lower than the threshold of 0.71%. The project launch from Dec, 1997. The project is aimed to improve the foregoing reasons and execute the measures: clarifying the divisions of labor of the nursing staff, then the nursing staff can indeed finish the check and again check, to build up the identical preoperative teaching booklet and audit quality's record of imperfection of preoperative preparation etc. six months before project performance, there were 5 of 705 patients found to have imperfection of preoperative preparation. The rate is 0.71%. After 6 months of project performance, the result revealed that 2 of 651 patients found to have imperfection of preoperative preparation. Rate of imperfection of preoperative preparation is 0.31%, lower than previous records. We concluded that this project is effective. We will continue to keep the project performance to keep effect in the future. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。