頁籤選單縮合
題 名 | 降低住院病人自備藥給藥異常發生率專案=A Project to Reduce the Incidence of Inpatients' Adverse Medication Event with Self-prepared Medicine |
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作 者 | 涂裕敏; 魏曉嵐; 謝佳惠; 曾怡樺; 陳素惠; 李麗紅; | 書刊名 | 彰化護理 |
卷 期 | 24:2 2017.06[民106.06] |
頁 次 | 頁14-23 |
分類號 | 418.82 |
關鍵詞 | 用藥安全; 給藥異常; 自備藥管理; Medicine administration safety; Adverse medication event; Self-prepared medicine management; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:給藥異常影響病人安全,現況分析發現本單位2014年第一季病人給藥異常發生率驟增至16.3%,居全院之冠。歸納分析發現自備藥給藥異常發生率佔所有給藥異常事件71.4%居首位,其中66.7%為自備藥管理不當所造成。目的:降低自備藥給藥異常發生率至3%及提高自備藥管理的正確率至90%。材料與方法:為使病人獲得更安全的用藥環境,故成立專案小組,由護理師、醫師及藥師跨團隊合作,進行(1)修訂標準作業流程,(2)製作文宣提醒卡置於床頭,(3)製作自備藥工作櫃,(4)舉辦在職教育,及(5)制定稽核制度,以改善自備藥給藥異常情形。結果:本單位自備藥給藥異常發生率由71.4%降至3%,自備藥管理正確率由69.6%提升至95%。結論:本專案執行之措施,確實能降低自備藥的給藥異常發生率及提高自備藥管理的正確率,達到此專案之目標。 |
英文摘要 | Background: Adverse medication event impacts on patient's safety. The incidence of adverse medication event in our unit increased to 16.3% during the first season in 2014 and was the highest in the hospital. We analyzed this issue and found inpatients took medicine preparing by themselves resulted in 71.4% of adverse medication event, of which 66.7% was inaccurate inpatients' self-prepared medicine management. Purpose: The purpose of this project was to decrease the incidence of adverse medication event to 3%, and to increase the correct rate of self-prepared medicine management to 90%. Resolutions: A cross-disciplinary collaboration team including three registered nurses, a doctor and a pharmacist was set up and we revised the standard of procedures, posted reminding card at bedside, provided every patient a personal medicine box to use, conducted nursing in-service education, and internal auditing were built to improve the inpatients' self-prepared medicine management. Results: The incidence of adverse medication event decreased from 71.4% to 3%, and the correct rate of medicine management increased from 69.6% to 95%. Conclusion: The result of this project has reached the goal to decrease the adverse medication event and increased the correct rate of inpatients' self-prepared medicine management. |
本系統中英文摘要資訊取自各篇刊載內容。