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題 名 | 降低手術用物準備不完整率改善方案=Project to Improve the Rate of Incomplete Pre-operative Preparation |
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作 者 | 李淑蓉; 朱英瑜; 黃瓊慧; 薛素娟; | 書刊名 | 醫院 |
卷 期 | 45:6 2012.12[民101.12] |
頁 次 | 頁37-48 |
分類號 | 419.23 |
關鍵詞 | 手術前用物準備; 備物範本; 用物定位; 標準作業流程; Surgical pre-preparation; The templates of preparation; Locating operative material and tools; Standard operating procedure; |
語 文 | 中文(Chinese) |
中文摘要 | 手術用物準備不完整對病人手術安全影響甚鉅。本專案目的在降低護理人員手術用物準備不完整率,經查檢發現護理人員手術用物準備不完整主要原因有:(1)不熟悉醫師用物習慣;(2)用物準備範本不符現況;(3)手術房內基準量不足;(4)器械種類多,無法熟記;(5)醫師人數及手術方式增加。依此實行的改善方案為:(1)重新制定作業標準;(2)教育訓練與製作用物準備交班卡;(3)修訂用物準備範本;(4)將內視鏡種類數位化造冊;(5)重新規劃物品擺設及設定基準量。結果顯示:準備不完整率由改善前的40.80%降為11.20%,且主刀醫師對於備物滿意度由改善前的54.60%,提升至88.00%,均有達到預期目標。本專案的經驗可作為其他手術單位之參考。 |
英文摘要 | Incomplete operative preparation is a significant issue on patient safety. This project aims to reduce the rate of incomplete pre-operative preparations. By conducting the survey, the causes were concluded as followings: (1) staff were not familiar with surgeons’ habit of adopting operative tools; (2) Operative template and guidelines did not match the current status; (3) benchmark supplies were insufficient in the operation rooms; (4) staff could not memorize all operative instruments; (5) increased in the number of surgeons and surgical approaches. According to these factors, we implemented the project to reduce this situation, including: (1) a reformulation of standard operating procedure; (2) scheduled education courses and made reporting templates of shift exchange; (3) amended the templates of surgical preparation; (4) made a endoscopy digitization list; (5) redesigned the space to locate surgical materials and tools and rested benchmark supplies. We found this study results as followings: The rate of incomplete pre-operative preparation was dropped from 40.83% to 11.20% and surgeons’ satisfaction was increased from 54.60% to 88.00%. The experience could be used as reference of other surgical units. |
本系統中英文摘要資訊取自各篇刊載內容。