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| 題 名 | 以跨機構合作模式改善長期照顧機構多重抗藥性微生物感染管制執行率及成效探討=Improving Compliance with Multi-Drug Resistant Organism Infection Control in Long-Term Care Facilities with Team Resource Management |
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| 作 者 | 林淑甄; 張蕙茹; 張雅涵; 黃小容; | 書刊名 | 醫務管理期刊 |
| 卷 期 | 18:3 2017.09[民106.09] |
| 頁 次 | 頁252-267 |
| 分類號 | 419.38 |
| 關鍵詞 | 長期照顧機構; 多重抗藥性微生物; 感染管制; 醫療團隊資源管理; Long-term care facilities; Multi-drug resistant organisms; Infection control; Team resource management; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 目的:長照機構住民常往返於急、慢性機構,因照護相關感染及其引發的死亡,截至目前多重抗藥性微生物感染管制的感染監控與通報僅止於急性醫院。在考量多重抗藥性微生物感染管制的連續性,本院成立專案小組,希望透過團隊合作改善急、慢性機構間之感染管制落差。方法:透過跨機構溝通合作,運用教育訓練、導入多重抗藥性微生物感染管制措施,例如改善長照機構住民照護與管理及環境消毒清潔,並實地查核執行狀況。結果:在策略導入後長照機構多重抗藥性微生物住民的照護與管理的執行率由8.33%提升至91.67%,環境消毒與清潔執行率由11.11% 提升至72.22%。結論:跨機構的感染管制模式,透過經驗的傳承與教育訓練,可提升長照機構對多重抗藥性微生物的執行率,本專案期望未來深入探討以嘉惠更多病人,減少醫療與社會之負擔。 |
| 英文摘要 | Objective: The aim of this project was to improve compliance with multi-drug resistant organism (MDRO) infection control in long-term care facilities (LTCFs). Method: We implemented isolation and environmental disinfection, monitoring, and most importantly, educational training through team resource management (TRM). Results: Compliance with MDROs infection control policies and management increased from 8.33% to 91.67%, and the environmental disinfection and cleaning compliance rate increased from 11.11% to 72.22%. Conclusions: Implementation of policies, monitoring, and educational training through TRM improved compliance with MDROs infection in LTCFs compliance. This project could be expanded to benefit more patients and to reduce the burden on medical and social services. |
本系統中英文摘要資訊取自各篇刊載內容。