查詢結果分析
相關文獻
- 建立手術室器械計數流程標準管理及其成效評估
- 醫師如何成為改善醫療品質的領導者
- Impact of Hospital Volunteers on the Patients' and Nurses' Perception of Medical Care Quality
- 醫療品質與健保局刪減對民眾與醫院帶來的衝擊
- A Qualitative Study of Multidimensional Perceptions about Healthcare Quality
- 全民健保後外科醫師人力之調查與分析
- 臺灣歷次精神醫療院所評鑑之比較
- 應用等候理論評估醫院急診室人力資源之研究
- 醫院作業流程專案管理之實證研究
- 以系統思考模式探討健保施行對醫療品質的影響
頁籤選單縮合
題 名 | 建立手術室器械計數流程標準管理及其成效評估=Standardization of Operation Room Instrument Management Protocols and a Performance Evaluation |
---|---|
作 者 | 蔡少雲; 陳雅惠; 王拔群; 吳家麗; 胡寶雪; 鍾佳伶; 邱喬蘭; 林志明; 李銘家; | 書刊名 | 輔仁醫學期刊 |
卷 期 | 5:4 2007.12[民96.12] |
頁 次 | 頁181-188 |
分類號 | 419.23 |
關鍵詞 | 器械計數; 標準流程; 器械管理; 醫療品質; Instrument counting; Standard operation procedures; |
語 文 | 中文(Chinese) |
中文摘要 | 背景和目的:本研究旨在建立手術室器械計數流程標準化管理模式,並評估其施行成效,祈藉由標準化減少人為疏忽、提升病人安全與降低醫院器械成本。方法:研究自民國95 年2 月開始計劃並建立器械計數標準作業程序,制訂多項器械管理規劃方案,執行三個月後開始進行評估與分析器械計數完成率、遺失率,並以卡方檢定、ANOVA檢定比較改善前後之差異性。結果:結果顯示每台刀四次計數點之器械計數完成率顯著提升至81%~95% (p < 0.05) ;器械遺失率由0.69 件/百台刀下降至0.32 件/百台刀;每月平均損失金額並未顯著改變(p > 0.05) ,此可能因本研究追蹤期間不夠長,因此成效並無顯著統計意義。結論:持續執行器械計數標準流程管理並定期監督與評值,相信未來一定能使器械遺失率趨近於零,進而降低醫院購置器械的成本,增加器械管理效能,提昇手術室的服務品質。 |
英文摘要 | Background and Objectives: With the aims of reducing human errors, improving patient safety, and containing hospital instrument costs, the objectives of this study were to standardize operation room instrument management protocols and to evaluate their performance. Methods: By establishing standard operation procedures for instrument counting, multiple instrument management protocols were implemented in February 2006. The completion rates of instrument counting and instrument loss rates were evaluated before and 3 months after initiation of the protocols. Chi-squared test and ANOVA were used investigate the efficacy of the quality improvement intervention. Results: The completion rates of instrument counting at 4 checkpoints for single surgeries improved from 81% to 95% (p<0.05). The instrument loss rates were reduced from 0.69 to 0.32/surgery. The average cost incurred from instrument losses remained unchanged (p>0.05), due to a limited follow-up duration. Conclusions: Standardization of operation procedures with regular audits is critical to the success of operating room instrument management. Continuous quality improvement efforts are being implemented with the aim of reducing instrument loss to zero; we believe this can further contain hospital instrument costs, enhance management competency, and improve operating room service quality and safety. |
本系統中英文摘要資訊取自各篇刊載內容。