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題名:應用RFID提升手術病人安全
書刊名:醫護科技期刊
作者:王文燕陳麗鳳林璋菁
作者(外文):Wang, Wen-yenChan, Li-fengLin, Wei-ching
出版日期:2010
卷期:12:3
頁次:頁191-198
主題關鍵詞:無線射頻技術病人安全Radio frequency identificationRFIDpatient safety
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(1) 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:1
  • 共同引用共同引用:9
  • 點閱點閱:146
手術的意外或錯誤時有所聞,輕者導致病人不安,重者則會造成極嚴重的傷害。本研究是從手術病人安全辨識流程中發現:一、人員因工作忙碌導致辨識程序不確實,造成手術病人安全辨識不正確件數共6件。二、手術病人採用人工辨識程序繁雜,每位病人約費時505秒/人。三、遇手術病人安全辨識異常錯誤時,電腦系統無資訊連結及警示訊息。在導入RFID於手術病人作業辨識流程後,運用RFID的科技工具與現有的電腦資訊系統結合,經由設立RFID相關硬體及程式導入,重新制定手術病人安全辨識標準作業流程、進行教育訓練及使用流程查檢表進行結果查核發現,手術病人安全辨識不正確件數爲0件,且能簡化手術室病人之辨識程序並降低查檢時間360秒達71%(由原本505秒/人降低爲145秒/人)。研究結果證明RFID的應用不但可提升病人安全之正確辨識率及安全的醫療處置程序,更能有效降低人爲疏失,達到提升手術病人安全。
Accidents or mistakes during surgery are not rare, and can result in patient harm. From process of safely identifying patients undergoing operation, this study found that 1) Six patients were incorrectly identified due to heavy staff workloads. 2) In total, 505 seconds were needed for patient identification by staff. 3) Alarms or messages were unavailable in the computer system when patients were incorrectly identified. This study introduces Radio Frequency Identification (RFID) into the patient identification process, combines RFID with the current computer system, and establishes a new procedure for patient identification. After implementation, the number of misidentification of patients was reduced to zero measured by a simplified process- investigating flowchart. This system reduced time spent in patient identification by 71%, from 505 seconds to 145 seconds. Our experimental results suggest that the application of RFID increases the rate of correct patient identification and safe medical procedures, and decreases personal mistakes, thereby reaching the goal of assuring security for patients undergoing surgery.
期刊論文
1.柯國楨、顏正忠、黃興進、游靜芬、藍武祥、劉忠峰(20070900)。應用RFID技術於醫院血袋管理資訊系統之開發研究。醫療資訊雜誌,16:3,頁61-70。new window  延伸查詢new window
2.楊美雪、朱紹綱、吳聰慧、謝愛家、張博論(20071200)。開發並評估無線射頻技術為基礎之調劑輔助系統。醫療資訊雜誌,16(4),25-36。new window  延伸查詢new window
3.石崇良、蘇喜(2004)。運用資訊提升病人安全。台灣醫學,8(6),807-816。  延伸查詢new window
4.王嵩竑(20070400)。護理人員認知之RFID系統創新性對其使用該系統意圖之影響。醫護科技學刊,9(2),89-102。new window  延伸查詢new window
5.朱耀明、林財世(2005)。淺談RFID無線射頻辨識系統技術。生活科技教育月刊,38(2),73-87。  延伸查詢new window
6.古雪鈴、王拔群、陳雅惠、劉惠琴(20051200)。手術室醫護人員使用「病人安全辨識查檢表」半年與一年後之滿意度調查。輔仁醫學期刊,3(4),203-211。  延伸查詢new window
7.王昱豐、徐美菁、林俊龍(2005)。病人安全以病人為中心之醫療照護-論本院推動之經驗。慈濟醫學,17(4),1-13。  延伸查詢new window
8.佘建成、張博論(2007)。RFID暨PDA臨床路徑患者照護及護理交班輔助系統之開發。醫療資訊雜誌,16(1),33-46。new window  延伸查詢new window
9.張麗君、蔡宗益(2007)。運用根本原因分析改善病人手術安全之個案研究。輔仁醫學學刊,5(3),133-142。  延伸查詢new window
10.張國頌、陳雅筑、蔡育秀、古添全(2003)。急診室流程模擬系統之開發。中華民國急救加護醫學會雜誌,14(2),64-74。  延伸查詢new window
11.Bicknell, D.(2007)。The benefits of RFID will soon be realised。Computer Weekly,July(17),20。  new window
12.Catalano, K.,、Fickenscher, K.(2008)。Complying with the 2008 national patient safety goals。Association of Operating Room Nurse,87(3),547-556。  new window
13.Sandler, S. G., Langeberg, A., DeBandi, L., Gibble, J., Wilson, C.,、Feldman, C. L.(2007)。Radiofrequency identification technology can standardize and document blood collections and transfusions。Transfusion,47(5),763-770。  new window
14.Vicks, A. M., Vasich, J. K.,、Li, S.(2006)。Radio frequency identification applications in hospital environmens。Hospital Topics Sarasota,4(3),3-8。  new window
圖書
1.Kohn, L. T., Corrigan, J. M.,、Donaldson, M. S.(2000)。To error is human: Building a safer health system (2nd ed.)。Washington, DC:National Academy Press。  new window
 
 
 
 
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