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題 名 | 臨時給藥醫囑逾時執行率之改善方案=The Reduction in Overall Time to Administer State Medications: A Project Report |
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作 者 | 劉慈慧; 李秋璇; 李亦婷; 明勇; | 書刊名 | 高雄護理雜誌 |
卷 期 | 25:2 2008.11[民97.11] |
頁 次 | 頁20-32 |
分類號 | 419.38 |
關鍵詞 | 給藥; 臨時醫囑; 逾時執行率; State medication; Over time; Administration; |
語 文 | 中文(Chinese) |
中文摘要 | 本專案目的在降低臨時給藥醫囑逾時執行率。因本單位之臨時給藥醫囑逾時執行率高達37%,平均完成給藥時間38.5分鐘,明顯高於醫院規定,故期望藉由本專案降低臨時給藥醫囑之逾時執行率,進一步提升臨床照護品質、增加病患的滿意度並促進患者健康之恢復。經由新增醫囑病歷臨時置放區、修訂單位護理常規、制訂臨時醫囑處置標準流程、落實科間聯繫、病歷封面黏貼標示牌、協調志工人員支援及調整單位工友之工作勤務,將平均給藥時間自38.5分鐘縮短至22.7分鐘,並降低執行臨時給藥醫囑逾時率至4.41%,不但達到目標更促進跨科室之合作,提升臨床護理工作效率與照護品質。 |
英文摘要 | The purpose of this project was to reduce the time it took to administer state medications and to improve the quality of patient care. Before our interventions, administering state medications took an average of 38.5 minutes and consumed 37 percent of our time, exceeding hospital policy regarding the administration of drugs To shorten the time, we used six interventions. We (1) set up a new area for the charts with new medicine orders, (2) revised the nursing routine, (3) formulated a standard procedure for processing prescriptions, (4) communicated with the administrators of other departments, (5) posted a special card in the front of charts, and (6) coordinated the assistants and volunteers to assist in the transfer of medications. The outcome of these interventions were that we reduced the administration of state medications by 4.41%. This also promoted the cooperation among offices and improved work efficiency and nursing quality. |
本系統中英文摘要資訊取自各篇刊載內容。