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題 名 | 降低暫時性雙腔靜脈導管滑脫率=Reducing Slippage Rate of Temporary Double-Lumen Catheters |
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作 者 | 吳毓慧; 范曉雯; 張瓈方; | 書刊名 | 源遠護理 |
卷 期 | 8:3 2014.12[民103.12] |
頁 次 | 頁67-74 |
分類號 | 419.73 |
關鍵詞 | 暫時性雙腔靜脈導管; 滑脫率; 護理專案; 血液透析; 病人安全; 交班; Temporary double-lumen catheter; Hemodialysis; Slippage rate; Nursing project; Patient safety; Handover; |
語 文 | 中文(Chinese) |
中文摘要 | 本專案旨在探討暫時性雙腔靜脈導管滑脫之相關因素,以降低其滑脫率及提升護理師臨床技能。統計單位2013年第一季暫時性雙腔靜脈導管滑脫率3.82%,不僅超出閾值且為全院最高,經分析發現護理師參與暫時性雙腔靜脈導管照護之單位在職教育僅37.0%;單位內缺乏「暫時性雙腔靜脈導管照護」之評估紀錄表及提示標示;護理師未能確實交班;缺乏稽核制度。透過「暫時性雙腔靜脈導管照護之評估紀錄表及提示標示」的製作及執行;舉辦暫時性雙腔靜脈導管在職教育;建立稽核制度。本專案實施後,滑脫率降低至0.6%;護理師交班完整性提升至98.8%、參與在職教育達成率為100%及導管照護認知增加至96.3%。不僅護理照護品質獲得改善,亦提升護理師對於導管照護知能。 |
英文摘要 | This study investigated factors, preventive measures and staff competency related to the accidental dislodge of temporary double-lumen catheters. The dislodge rate of the temporary double-lumen catheters was 3.82% in the first quarter of 2013, which exceeded the threshold value and was the highest among all units in the hospital. Survey indicated that only 37.0% of nurses in the unit received training on care of temporary double-lumen catheter. Other deficits included lack of a double-lumen catheter care evaluation table and appropriate labels, nurses failed to complete handoff during shift change, and no auditing process. The unit established a temporary double-lumen catheter care evaluation table with relevant labels, provided staff training on temporary double-lumen catheterization care, and implemented an auditing process. 100% of nurses completed the required training, the level of catheter care awareness increased to 93.6%, the complete nurse handoff rate increased to 98.8%, and the catheter dislodge rate decreased to 0.6%. |
本系統中英文摘要資訊取自各篇刊載內容。