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題名 | 降低病人因服用抗血栓藥物導致無效性住院率=Decreasing the Number of Inefficient Surgical Admissions of Patients Receiving Antithrombotic Agents |
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作者 | 塗慧卿; 邱文靜; 高翡勵; 連金延; | 書刊名 | 醫務管理期刊 |
卷期 | 13:2 2012.06[民101.06] |
頁次 | 頁120-135 |
分類號 | 419.38 |
關鍵詞 | 抗血栓藥物; 無效性住院; Antithrombotic agents; Inefficient admission; |
語文 | 中文(Chinese) |
中文摘要 | 目的:本專案旨在降低病人因服用抗血栓藥物導致的無效住院率。經現況分析發現單位缺乏一致性通知病人住院標準流程,使病人與家屬對服用抗血栓藥物認知偏低,無效住院率高。方法:本專案樣本為某一醫學中心泌尿外科,根據2008年7月至12月統計發現住院病人中,因未停用抗血栓藥物而辦理出院共有40人,無效性住院率達1.48%,針對作業缺失、不完整問題,擬定4個解決方案:(1)病人住院前評估表應用。(2)運用電腦化,修改及列印病人住院需知單張。(3)將本院藥劑部之藥品資料暨外觀查詢系統網頁,移置每台電腦之桌面上。(4)制定通知病人住院的標準流程及單張。結果:方案執行後無效住院率在六個月期間由1.48%降至0.11%;無效住院人數由40人降至3人,護理人力成本由5,304元降至398元,節省了4,906元。結論:顯示此專案措施的可行性和有效性,通知病人住院時因作業流程的標準化,而能讓病人住院接受手術及檢查前,了解病人服藥的情形,提昇用藥及手術安全,也可作為其他醫院管理的參考。 |
英文摘要 | Objective: The aim of this study was to decrease the number of inefficient surgical admissions of patients receiving antithrombotic agents. Analysis had found a lack of consistent patient notification and awareness of the guidelines for use of these medications prior to surgery.Method: This study was done in a Medical Center Urology Department. From July to December 2008, there were 40 inefficient admissions for a rate of 1.48%. Interventions included:(1) Evaluation of patient data before hospitalization. (2) Utilization of the computer to print hospital notes. (3) Provision for the hospital pharmacy to make drug information available on a website which was accessible to each desktop computer. (4) Patient notification of standard procedures.Results: After intervention, the inefficient admission rate decreased from 1.48% to 0.11% and the number of inefficient admissions decreased from 40 to 3, Nursing manpower cost was reduced from $5,304 to $398, a saving of $4,906 this study.Conclusions: The intervention was feasible and effective. Work flow was standardized and staff was aware of patient medications, insuring surgical safety. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。