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題 名 | 提升重症病童連續性腎臟替代療法執行成效=Improving the Efficacy of Continuous Renal Replacement Therapy in Children with Critical Illnesses |
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作 者 | 郭淑冠; 蘇淑芬; 賴俊仁; 俞靜儀; 黃寬如; 田祐霖; 林盈瑞; 邱鼎育; 李建德; | 書刊名 | 醫務管理期刊 |
卷 期 | 24:4 2023.12[民112.12] |
頁 次 | 頁423-442 |
分類號 | 417.511 |
關鍵詞 | 兒童重症; 連續性腎臟替代療法; 團隊; 智慧醫療; Pediatric critical care; Continuous renal replacement therapy; CRRT; Team; Smart medicine; |
語 文 | 中文(Chinese) |
DOI | 10.6174/JHM.202312_24(4).423 |
中文摘要 | 目的:重症病童經常面臨急性腎損傷的威脅,若合併多重器官衰竭,其死亡率超過 五成。本文分析重症病童連續性腎臟替代療法執行成效低的原因並實施對策,以提 升照護品質。 方法:利用品質工具查檢表,首先確定相關因素,並設計相應的策略,包括跨團 隊、急性腎損傷早期警示醫令提示系統、分級照護、人工智能光纖傳速和臨床處置 標準化。 結果:治療劑量達成率由 70.5% 提升至 92.4%,水份移除率由 77.6% 提升至 94.2%,機器警報異常發生次數由每日 5.9 減為 2.1 次數,過濾器凝血率由 13% 下 降至 7%,抗凝劑使用率由 80.3% 降低至 6.4%,顯示專案具正面成效。 結論:成功提升重症病童連續性腎臟替代療法執行成效,仍需持續落實「以病人為 中心」。 |
英文摘要 | Objectives: Children with critical illnesses often develop acute kidney injury (AKI). If combined with multiple organ failure, their mortality rate exceeds 50%, requiring the highly complicated continuous renal replacement therapy (CRRT). This project aims to identify the factors crucial to the efficacy of CRRT and formulate strategies to improve the quality of care in these children. Methods: Using the quality tool, check list, related factors were first identified, and corresponding strategies were designed, including cross-team, acute kidney injury early warning medical order reminder system, graded care, artificial intelligence optical fiber transmission, and clinical treatment standardization. Results: These measures improved key indicators, including dose target achievement rate increased from 70.5% to 92.4%; fluid removal rate improved from 77.6% to 94.2%; machine alarms reduced from 5.9 times per day to 2.1; unexpected dialyzer clotting reduced from 13% to 7%; anticoagulation heparin use reduced from 80.3% to 6.4%. Conclusion: This project has successfully improved the efficacy of CRRT, which is key to the quality and complete care of children with critical illnesses. |
本系統中英文摘要資訊取自各篇刊載內容。