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題名:北部某醫學中心外傷加護病房計價完整性改善方案
書刊名:長庚護理
作者:韓慧美徐清華陳淑卿 引用關係沈永釗杜素珍酆淑琴
作者(外文):Han, Hui-meiHsu, Ching-hwaChen, Shu-chingShen, Yung-chaoDou, Su-jeneFeng, Shu-chin
出版日期:2005
卷期:16:1=49
頁次:頁73-83
主題關鍵詞:外傷加護病房計價完整性改善方案TraumaIntensive unitCharge completenessImprovement approach
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(3) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:7
  • 點閱點閱:26
     本專案目的為外傷加護病房護理人員執行計價完整性及計價認知程度之瞭解與改善,以提升護理人員計價之完整性。現況中發現計價完整性方面,治療處置項目的計價完整性為78.75%,材料項目的計價完整性為94.79%,顯示計價完整性仍有待提升;就本專案現況調查結果得知,護理人員對於計價的認知為67.8%,顯示護理人員在計價的認知程度仍有改善的空間。因此,綜合以上缺失,進行本專案之改善方案;(一)因治療處置及材料項目皆需進行改善,故設計計價輔助工具,以提升護理人員計價之完整性,包括:「單位常用處置及處置內容物標示」、「處置包計價作業隨身小卡」、及「橡皮章」,提供臨床護理人員正確計價之指引。(二)建立單位教育與個別指導的制度,加強護理人員正確的計價認知。經過本專案改善後,計價完整性方面,治療處置計價完整性由改善前的78.75%提高為95.38%,材料項目計價完整性由改善前的94.79%提高為97.63%,且達統計上顯著差異;護理人員在計價之認知由改善前的67.8%提高為95.9%,且達統計上顯著差異。因此,透過此專案的改善後,提升護理人員對正確計價的認知,提高臨床計價的完整性。
     The purpose of the project was to improve the completeness of charge and knowledge about charge of nurses at the trauma intensive care unit. Before the improvement program, the charge completeness for treatment management and material was 78.75% and 94.79%, respectively, indicating the insufficiency of charge completeness. The overall knowledge about charge was 67.8%, indicating that the level of knowledge also needed to be improved. After analyzing the current status, the improvement approaches included: (1) establishment of charge assisting tools, including the label for regular management, charge portable card of management package, and rubber stamp; (2) organization of a systematic unit education and individual direction program. After the improvement program, the charge completeness for treatment had improved from 78.75% to 95.08%, and the charge completeness for materials had improved from 94.79% to 97.63%. The nurses' knowledge about charge had improved from 67.8% to 95.9%. The program not only improved the nurses' knowledge about charge but also promoted charge completeness.
期刊論文
1.陳秀枝(19990900)。內科病房治療處置計價完整率監測方案。長庚護理,10(3)=27,12-19。new window  延伸查詢new window
2.林文香(1995)。全民健保支付制度及其對護理的衝擊--訪李玉春教授。榮總護理,12(1),109-112。  延伸查詢new window
3.楊蓓菁、陳春枝、林綉珠(20021000)。提昇急診護理人員正確記帳專案。護理雜誌,49(5),61-70。new window  延伸查詢new window
4.Buchan, J.(1992)。Cost-effective caring。International Nursing Review,39(4),117-120。  new window
5.Normar, H.(1999)。Examining the dollars and cents of care。Nursing Management,30(3),22-26。  new window
6.Richardson, G.、Griffiths, P.(2000)。The costs of care: economic evaluation of treatments。Nursing Times,96(44),2-8。  new window
7.吳純(19940600)。改善記帳完整性之評價。榮總護理,11(2),153-157。new window  延伸查詢new window
8.林麗英、張靜瑛(19970600)。病室處置材料計價完整率監測方案。榮總護理,14(2),165-175。new window  延伸查詢new window
9.邱臺生(19920600)。病室「防制漏收醫療費用」計劃之實施與評價。榮總護理,9(2),177-182。new window  延伸查詢new window
10.Leming, T.(1991)。Quality customer service: Nursing's New Challenge。Nursing Administration,15(4),6-12。  new window
11.Campbell, B.(1992)。Assessment of attitudes toward cost-containment。Nursing Economic,10(6),397-401。  new window
 
 
 
 
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