醫療照護疏失原因之探討__臺灣人文及社會科學引文索引資料庫

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題名：	醫療照護疏失原因之探討
書刊名：	長庚護理
作者：	林秋芬／陳玉枝／張文英／高靖秋／林月桂／盧美秀
作者(外文)：	Lin, Chiou-fen／Chen, Yu-chih／Chang, Wen-yin／Kao, Ching-chiu／Lin, Yueh-kuei／Lu, Meei-shiow
出版日期：	2005
卷期：	16:1=49
頁次：	頁23-34
主題關鍵詞：	醫療疏失；護理疏失；Medical malpractice；Nursing malpractice
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:1 共同引用:0 點閱:13

　　　　　本研究旨在依護理人員所知，了解過去醫療照護疏失的原因和類型，以作為未來醫療照護疏失預防決策之參考。本研究採用橫斷式結構問卷調查法，以參加「以病人為中心之安全照護」護理論壇的成員為對象。資料以個數、百分比與卡方檢定進行統計。本研究共發出問卷1119份，有效回收491份，回收率為43.88％。研究結果顯示，造成醫療照護疏失原因的前五項為：1. 手寫醫囑潦草（59.7％）；2. 專業能力不足（55.4％）；3. 口頭醫囑傳遞不清楚（42.2％）；4. 指派或任用無經驗者（39.3％）；5. 溝通不良（38.9％）。醫療照護疏失原因與醫院層級有十項呈現統計上的顯著差異（p< .05）。本研究結果不但有助於了解過去醫療照護疏失所發生的原因，更可在提醒下降低或預防未來醫療照護疏失的發生及協助進行預防措施的選擇。

以文找文

　　　　　The aim of this study was to explore the cause and types of healthcare malpractice. In this cross-sectional study, data were collected by a structured questionnaire administered among subjects participating in Patient Safety Forum. Data were analyzed using frequency, percentage and Chi-square test. Among 1119 nurses, 491 returned the questioinnaire, representing a 43.88% response rate. The results indicated that the top five leading causes of healthcare malpractice were: 1) unreadable preprinted orders (59.7%); 2) a lack of competence of nurses (55.4%); 3) unclear oral orders (42.2%); 4) assignment of inexperienced staff (39.3%); and 5) poor communication (38.9%). Association was found between causes of healthcare malpractice and hospital levels. The findings provided information on the causes of healthcare malpractice and facilitated the reduction of the incidence by developing preventive strategies in the future.

以文找文

期刊論文
1.	Benner, Patricia、Sheet, Vickie、Uris, Patricia、Malloch, Kathy、Schwed, Kathy、Jamison, Dwayne(2002)。Individual, practice,and system causes of errors in nursing: A taxonomy。Journal of Nursing Administration，32(10)，509-523。
2.	Ellen, O.(1999)。Factors Contributing to Medication Errors : A Literature Review。Journal of Clinical Nursing，8(5)，496-505。
3.	何慶生、梁季鈰、陳德(20010600)。組員資源管理與疏失管理。民航季刊，3(2)，43-66。延伸查詢
4.	(2001)。Medical errors and nurse staffing bill。Nevada Information，10(2)，1-2。
5.	(2001)。Patient fact sheet: 20 tips to help prevent medical errors: Agency for Healthcare Research and Quality。Maryland Nurse，4(3)，26。
6.	(2001)。Publications highlight patient safety and medical errors。Massachusetts Nurse，71(5)，14-16。
7.	Byrne, M.(2001)。Understanding the nature of errors in nursing: using a model to analyze critical incident reports of errors which had resulted in an adverse or potentially adverse event。Association of Operating Room Nurses journal，74(2)，257。
8.	Hackel, R.、Butt, L.、Gaurdia, B.(1996)。How nurses perceive medication errors。Nursing Management，27(1)，31-34。
9.	Meurier, C. E.(2000)。Understanding the nature of errors in nursing: Using a model to analysis critical incident reports of errors which had resulted in an adverse or potentially adverse event。Journal of Advanced Nursing，32(1)，202-207。
10.	Sally, A.(2001)。A safe standard of care for medication administration。Nursing Management，32(9)，12。
11.	Winslow, E. H.、Nestor, V. A.、Davidoff, S. K.、Thompson, P. G.、Borum, J. C.(1997)。Legibility and completeness of physicians' handwritten medication order。Heart & Lung，26(2)，158-164。
12.	Wolf, Z. R.、McGoldrick, T. B.、Flynn, E. R.、Warwick, E.(1996)。Factors associated with a perceived harmful outcome from medication errors: A pilot study。The Journal of Continuing Educating in Nursing，27(2)，65-74。
13.	Brown, M. M.(2001)。Managing Medication Errors by Design。Critical Care Nursing Quarterly，24(3)，77-97。
14.	Wilson, R. M.、Runciman, W. B.、Gibberd, R. W.、Harrison, B. T.、Newby, L.、Hamilton, J. D.(1995)。The Quality in Australian Health Care Study。Medical Journal Australia，163(9)，458-471。

研究報告
1.	Helmreich, R. L.(1998)。Error management as organizational strategy。Austin, Texas。

圖書
1.	Norwood, S. L.(2000)。Research strategies for advance practice nursing。Newbury Park, CA：Sage。
2.	Stafford, M. S.(2000)。"To err human: building a safer health system" nursing's response to IOM report on medical errors。Illinois Nurses Association。
3.	Institute of Medicine (US) Committee on Quality of Health Care in America、Kohn, Linda T.、Corrigan, Janet M.、Donaldson, Molla S.(1999)。To err is human: building a safer health system。Washington D.C.：National Academy Press。

其他
1.	Eisenberg, J. M.(2000)。Putting the full-court press on medical errors. The best offense is a good defense against medical errors，http://www.ahcpr.gov/news/spch012000.htm， 2002/11/20。
2.	Joint Commission on Accreditation of Healthcare Organizations(2003)。A position statement of the joint commission on accreditation of healthcare organizations，http://www.jcaho.org/accredited+organizations/home+care/sentinel+events/position+statements/index.htm， 2002/11/20。
3.	Meyer, G.(2002)。Web chat transcript. Patient safety research，http://www.ahcpr.gov/fund/tran411.htm， 2002/11/20。
4.	Rockville, M. D.(2000)。Medical errors: The scope of the problem. An epidemic of errors，http://www/ahrq.gov/qual/errbacl.htm。
5.	Rockville, M. D.(2002)。HHS agency gives consumers tips on preventing medical errors，http://www.ahrq.gov/news/press/pr2002/contips.htm， 2002/11/20。

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