頁籤選單縮合
題名 | 提升重症病人轉送過程完整性之改善專案=Completeness Improvement Project on Transfer of Critically Ill Patients |
---|---|
作者 | 盧育汶; 白筱雯; 李彩緣; 屈靈怡; 白筱雯; Lu, Yu-wen; Pail, Hsiao-wen; Lee, Chai-yuan; Chiu, Ling-yi; Pai, Hsiao-wen; |
期刊 | 若瑟醫護雜誌 |
出版日期 | 20150700 |
卷期 | 9:1 2015.07[民104.07] |
頁次 | 頁62-72 |
分類號 | 419.5 |
語文 | chi |
關鍵詞 | 重症病人; 轉送完整性; 改善專案; Critically ill patients; Transfer completeness; Improvement project; |
中文摘要 | 重症病人轉送過程中,容易因病情不穩定發生嚴重的合併症,而事前完整評估及轉送設備完整,可提升病人轉送過程安全,降低轉送之風險。方法:本專案於2012年7月稽核加護單位重症病人轉送過程完整性僅84.7%。為了解重症病人轉送過程不完整的原因,專案小組成員針對34位護理人員進行開放式問卷調查,依政策、人員、環境三方面填寫認為導致病人轉送過程不完整原因並加以歸類,並修訂「病人轉送安全評估表」、安排在職教育訓練、制定查核機制、檢視並重新規劃轉送動線。結果:本專案實施後,重症病人轉送過程完整性由84.7%提升至99.3%,未達專案改善目標100%,但對提升病人轉送品質有幫助。結論:重症病人轉送過程完整性的提升與病人安全息息相闕,醫護人員對病人轉送時的照護上,應有史進一步的體認及共識,提升病人轉送照護品質,以達病人安全之目標。 |
英文摘要 | Objective: In the transfer process of transfer critically ill patients are vulnerable to severe complications due to unstable illness state. Comprehensive pre-transferring assessment and appropriate transfer equipment may enhance patient safety and reduce risk to patients during transfer. Methods: The completeness rate of transferring critically ill patients was 84.7% as reported from an audit in intensive care units in July 2012. In order to identify the causes leading to incomplete transfer process, 34 nurses were interviewed to fill the open questionnaires. The potential factors leading to defective transfer were categorized into 3 types, including policy, personnel and environment. "Patient Transfer Safety Assessment Table" was revised. In subsequence, in-service training program was introduced and the inspection procedure was implemented. Furthermore, transfer plan was, reviewed and re-configured. Results: After the implementation of this project, the completeness rate of transfer critically ill patients was increased from 84.7% to 99.3%. Although the outcome failed to achieve the target of 100% completeness, the quality of transfer has been significantly improved. Conclusion: Improved completeness of transfer critically ill patients is highly associated with patient safety. Medical staffs need to awareness and consensus for the care of patients during transfer. Promoting the care quality during transferring patients can result in increased patient safety. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。