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題名 | 加護病房護理人員執行生理監視器警訊設定正確性之改善方案=Improving ICU Nurses Competency in Proper Setting of Physiological Monitoring Alarm System |
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作者 | 呂沛晴; 戴美玲; 胡慧林; | 書刊名 | 源遠護理 |
卷期 | 4:1 2010.05[民99.05] |
頁次 | 頁42-51 |
分類號 | 419.7 |
關鍵詞 | 病人安全; 生理監視器; 警訊設定; Patient’s safety; Physiological; Alarm system setting; |
語文 | 中文(Chinese) |
中文摘要 | 本專案目的在提高加護病房護理人員執行生理監視器警訊設定之正確性以維護病人安全。經實際臨床觀察護理人員執行生理監視器警訊設定情形,發現其正確性僅有25.0%。警訊設定不正確原因有生理監視器警訊設定操作不熟練、警訊設定範圍不清楚、缺乏警覺性、非三班常規、醫院未有警訊設定規範及監測機制。經安排在職教育、制定生理監視器警訊設定之規範及標準書、制定警訊設定卡、生理監視器警訊設定技術監測等措施,以整合護理人員對生理監視器警訊設定認知及操作,經專案實施後,警訊設定正確性由原25.0%提昇至90.1%(第一次監測)及94.5%(第二次監測),達本專案設定目標值90.0%。本專案結果期能提供維護病人安全及臨床照護品質考。 |
英文摘要 | The article describes the patient safety project on the improvement of ICU nurses’ competency in setting physiological monitoring and alarm systems. Baseline study on the accuracy of alarm system setting from the observation of nurses’ clinical practice was 25%. Five major reasons contributed to this low rate of accuracy: (1) unfamiliar with the alarm systems setting procedure, (2) incorrect setting of the acceptable ranges, (3) deficit in alertness, (4) inconsistent practice among all shifts, and (5) lack of policy and procedures on the operation and surveillance of the monitoring system. Improvement activities included setting standard operation procedures and regulations, designing an alarm system setting record card, and conducting staff training and competency validations. The post training competency validation compliant rate was 90.1% initially and 94.5% on the repeated validation. Both exceed the goal of 90.0%. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。