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題名:提升急診住院病人轉送交接正確性
書刊名:長庚護理
作者:李筱薇鄭麗華黃筱珮林美惠 引用關係
作者(外文):Lee, Hsiao-weiCheng, Li-huaHuang, Hsiao-peiLin, Mei-hui
出版日期:2014
卷期:25:3=87
頁次:頁302-314
主題關鍵詞:急診住院病人轉送交接正確性照護品質Emergency patientSafety when transferringCorrectness of transfer
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:6
  • 點閱點閱:7
專案目的在提升急診住院病人轉送交接正確性,小組自2011年5月7日至21日,經實地查檢發現急診住院病人轉送交接正確率僅87.0%,不正確原因:醫護人員對轉送等級評估不瞭解、過去未接受轉送安全相關在職教育、現有制度對於轉送交接標準不完整等。因急診病人特性具緊急且易變化,較其他部門轉送具較高風險,任一疏忽將造成病人傷害或死亡,引發改善動機。於2011年6月20日至11月21日期間,經急診部醫療團隊、醫品師及資管部門共同擬定對策,透過增修轉送交接作業標準、舉辦人員教育訓練及持續監控稽核等措施,使急診住院病人轉送交接正確率提升至98.4%,藉專案推動達到提升轉送交接正確性,確保急診住院病人轉送安全,進而提升照護品質。
The purpose of project was to increase accuracy of transfer process while moving patients from emergency room to ordinary wards or intensive care units. The accurate rate of transfer process is estimated about 87.0% after survey by project team from May 7 to 21, 2011. The causes leading to inaccuracy include poor understanding of evaluating transfer grade, not receiving on-the-job training of safe transfer, and incomplete transfer criteria and procedures. Because patients in emergency room often present with complex conditions and are riskier in transfer process than patients from other divisions, our team made the strategy to increase accuracy of transfer process via transfer criteria revision, educational training, and continuous monitoring during June 20 to November 21, 2011. The accurate rate of transfer process increased to 98.6% after project implementation. Our project can increase accuracy of transfer process, ensure patient safety, and improve quality of care.
期刊論文
1.杜異珍、朱月英、夏珊、廖淑媛、戴定玲、汪湘雲、汪乃玲(20070600)。建立病患安全查核表及查核方法成效評值。領導護理,8(1),27-41。  延伸查詢new window
2.高櫻芬、高婷婷、蔡育真、歐麗娟、呂旻芬(20091200)。運用失效模式與效應分析提昇重症病人轉送安全。秀傳醫學雜誌,9(3/4),101-109。  延伸查詢new window
3.梁亞文、陳進堂、陳素娥、李玉琇、莊家綾、林育秀(20081000)。住院病患及醫護人員對病人安全目標及達成作法重視度認知差異探討。醫護科技學刊,10(4),234-250。new window  延伸查詢new window
4.陳麗紅、鄧佩如、廖玉茹(20090900)。提升加護病房病人轉送安全性之改善專案。長庚護理,20(3)=67,343-351。new window  延伸查詢new window
5.Day, D.(2010)。Keeping patients safe during intrahospital transport。Critical Care Nurse,30(4),18-32。  new window
6.Deborah, A. P.、Pamela, K. G.、Laurie, L. R.、Gail, A. D.、Robert, W. P.、Carol, C. S.、Cheryl, L. J.(2009)。Reducing handoff risk during hospital patient transport。Journal of Nursing Care Quality,24(2),109-115。  new window
7.Papson, J. P.、Russell, K. L.、Taylor, D. M.(2007)。Unexpected events during the intrahospital transport of critically ill patients。Academic Emergency Medicine,14(6),574-577。  new window
8.Ye, K.、Taylor, D. M.、Knott, J. C.、Dent, A.、MacBean, C.(2007)。Handover in the emergency department: Deficiencies and adverse effects。Emergency Medicine Australasia,19,433-441。  new window
學位論文
1.傅淑惠(2010)。急診重症病患轉送安全指標之影響因子:中部某醫學中心之經驗(碩士論文)。雲林科技大學。  延伸查詢new window
圖書
1.Gary, C. W.(2005)。Equipment theory for respiratory care。Thomson:Cengage Learning。  new window
其他
1.財團法人醫院評鑑暨醫療品質策進會(2010)。2010-2011年醫療品質及病人安全工作年度目標及策略,http://www.patientsafety.doh.gov.tw/big5/Content/Content.asp?cid=124。  延伸查詢new window
2.Association of Anaesthetists of Great Britain and Ireland(200902)。Interhospital transfer,http://www.aagbi.org/sites/default/files/interhospital09.pdf。  new window
3.Agency for Healthcare Research and Quality(201003)。United States department of health and human services,http://www.ahrq.gov/index.html。  new window
 
 
 
 
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