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題 名 | 病人安全通報系統管路事件分析=Analysis on Tube Incidences from Patient Safety Reporting System |
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作 者 | 洪聖惠; 王拔群; 吳采螢; 林志明; 羅鴻舜; | 書刊名 | 輔仁醫學期刊 |
卷 期 | 6:1 2008.03[民97.03] |
頁 次 | 頁1-9 |
分類號 | 419.38 |
關鍵詞 | 病人安全; 通報系統; 非計劃性拔管; Patient safety; Reporting system; Unplanned extubation; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究針對台北市某醫學中心住院病人之管路事件做分析,進而了解非計劃性管路拔除之相關因素,以作為醫護人員今後預防管路事件之參考。研究方法藉由回溯台北市某醫學中心民國93 年6 月至95 年12 月間管路意外事件通報表及病歷資料,共94 件管路事件,61 件為管路自拔。基本資料及管路事件內容以個數及百分比呈現;以獨立樣本t 檢定進行組間比較。結果發現非計劃性拔除管路之高危險群以男性、高齡、內科,且加護病房居多。非計劃性管路拔除種類以氣管內管最多,拔除方式以自拔最多,且於臥床休息時最常發生,發生班別無明顯差異,發生時病人意識狀態多為清醒。發生後之傷害程度以中度傷害居多,個案年齡、發生時使用約束、陪伴者是否在場及發生時從事何種活動與非計劃性管路拔除方式呈顯著差異(p < 0.05) 。結論:醫護人員應適當評估病人管路脫離計畫,以避免非計劃性管路拔除及傷害,並降低醫療成本,進而提升病人安全與醫療品質。 |
英文摘要 | The objective of this study was to analyze inpatient tube incidences in a medical center in order to identify factors that may affect the outcomes of unplanned extubation. Conclusions generated from this study may provide caregivers valuable information in preventing tube incidences. We reviewed incident reports and medical charts of patients with tube incidents occurring from June 2004 to December 2006 in a medical center located in Taipei. Data on 94 tube incidents were collected, among which 61 patients experienced self-extubation. Demographics and other related information of the tube incidences were documented and analyzed. The densities of incidents are presented and compared within groups using independent t-test. It was found that high-risk patients were typically male, elderly, and from medical or intensive care units. Unplanned extubation often occurred with endotracheal-tube users, while patients were on bed rest, and under clear consciousness. Day or night shift was not a significant factor. Most of the tube incidents caused minor injuries. However, it was found that age, restraints, having a caregiver at the bedside, and activity type during the tube incidence were highly correlated with the occurrence of an unplanned extubation (p = 0.05). We concluded that caregivers should appropriately assess weaning protocols to avoid unplanned extubation injury in order to reduce healthcare expenses and improve patient safety and healthcare quality. |
本系統中英文摘要資訊取自各篇刊載內容。