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題名:提升內科病房護理交班之成效
書刊名:長庚護理
作者:王淑芬蔡宜蓁呂湘凌楊禮謙劉憶萍梁蕙芳 引用關係
作者(外文):Wang, Shu-fenTsai, Yi-chenLu, Hsiang-lingYang, Li ChienLiu, I-pingLiang, Hwey-fang
出版日期:2015
卷期:26:4=92
頁次:頁438-448
主題關鍵詞:護理交班成效Nursing shiftEfficiency
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:2
  • 點閱點閱:17
以病人為中心的照護是醫療安全管理重要目標,無效率交班因資料不齊而危害病人安全。統計南部某醫學中心護理部2011 年病人安全監控交班時段發生管路滑脫率0.09% (17 件)、跌倒率0.08% (8 件),調查護理師交班平均28.7 分鐘。分析問題為交班時間太長所致,針對導因:護理師交班缺乏一致性、交班過程易中斷、無制訂交班標準程序、稽核制度及電腦交班畫面無一致性。解決之道為錄製預防交班被中斷的教學影帶、制訂交班規範、稽核辦法及設立電子病歷簡潔化、改變交班模式-- 床邊交班。專案改善後交班平均時間10-20 分鐘,管路滑脫率降至0.04% (4 件)、跌倒率0.02% (2 件),證實本專案不僅提升交班成效,進而增進病人安全照護品質。
Care centered on patients is a critical indicator for management of medical safety. Professional nurses perform continuous care with shift information, while inefficient shift change endangers safety of patients in case of insufficient information. An investigation in 2011 had revealed that the tube slippage rate was 0.09% and fall rate was 0.08% during shift change period and the average time spent on shift change was 28.7 minutes. After analyzing the information, the results indicated that the reasons for delay in hand-over included inconsistent hand-over, interruption during hand-over, lack of standardized procedure and an audit system, and inconsistent computer system for hand-over. Solutions included providing educational video for preventing hand-over from being interrupted, establishing standard handover procedures and auditing protocols, developing a simplified e-progress note system, and utilizing bedside hand-over method. After implementing the project, the average time spent on shift change ranged between 10 and 20 minutes, the tube slippage rate dropped to 0.04%, and the fall rate dropped to 0.02%. The project enhanced the efficiency of shift change and improved the quality of care and patient safety.
期刊論文
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2.Scovell, S.(2010)。Role of the nurse-to-nurse handover in patient care。Nursing Standard,24(20),35-39。  new window
3.王美文、黃麗鳳、台麗珍、陳淑華(20120400)。恢復室護理人員術後交班作業完整性之改善。護理雜誌,59(2),80-87。new window  延伸查詢new window
4.王淑蓉、尹玓、李淑燕、林瑞青、曾雯琦(20070400)。護理床邊交班之時間及內容分析。中華職業醫學雜誌,14(2),121-128。  延伸查詢new window
5.李素吟、莊靜芬、郭惠錦、任彥懷(20030400)。急、門診病患入住病房之流程改善方案。醫院,36(2),66-75。  延伸查詢new window
6.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
7.林慧君、陳俞君、林琪馨(20130200)。提升加護病房電子病歷護理交班之完整性。志為護理,12(1),77-87。  延伸查詢new window
8.柯素綾、賴美雲、葉亭驛(20110400)。提昇病房護理交班完整性。澄清醫護管理雜誌,7(2),73-80。  延伸查詢new window
9.翁秀霞、莊明月、呂幸蓉(20100800)。提昇急診留觀區護理人員交班完整性之改善專案。領導護理,11(2),101-114。  延伸查詢new window
10.莊麗玉、李建德(2009)。交班--護理師的溝通。護理雜誌,56(3),93-98。  延伸查詢new window
11.陳姿廷、丁玉佩、郭秋雅、呂佩珍(20100600)。以影音多媒體護理指導提升門診癌症病人化學治療認知的正確率。腫瘤護理雜誌,10(1),39-52。  延伸查詢new window
12.詹雅惠、李宜恬、楊美華、李淑貞(20080600)。腫瘤護理紀錄書寫時間縮短方案。榮總護理,25(2),154-160。new window  延伸查詢new window
13.楊式辰、蔡佳樺、黃痢晴、巫明雅、鍾艷香、吳孟嬪(20111200)。提升加護病房護理人員交班作業完整率。北市醫學雜誌,8(4),341-356。  延伸查詢new window
14.劉明莉、蔡梅蘭、江曉玟、徐少慧(20120300)。提昇內科病房交班內容完整性之專案。領導護理,13(1),102-112。  延伸查詢new window
15.劉曉君、黃于芳、鍾淑媛、張月娟(2011)。護理師逾時下班改善專案。志爲護理,10(2),74-82。  延伸查詢new window
16.Anderson, C. D.、Mangino, R. R.(2006)。Nurse shift report: who says you can'€™t talk in front of the patient。Nursing Administration Quarterly,30(2),112-122。  new window
17.Cairns, L. L.、Dudjak, L. A.、Hoffmann, R. L.、Lorenz, H. L.(2013)。Utilizing bedside shift report to improve the effectiveness of shift handoff。Journal of Nursing Administration,43(3),160-165。  new window
18.Caruso, E. M.(2007)。The evolution of nurse-to- nurse bedside report on a medical-surgical cardiology unit。Medsurg Nursing,16(1),22。  new window
19.Kimberly, R.(2013)。Improving patient satisfaction with nursing communication using bedside shift report。Clinical Nurse Specialist,27(1),19-25。  new window
20.Sexton, A.、Chan, C.、Elliott, M.、Stuart, J.、Jayasuriya, R.、Crookes, P.(2004)。Nursing handovers: Do we really need them?。Journal of Nursing Management,12(1),37-42。  new window
21.Hansten, R.(2003)。Streamline change of shift report。Nursing Management,34(8),58-59。  new window
其他
1.JCAHO(2013)。2013 National Patient Safety Goals,http://www. joint commission.org/Patient Safety/ National Patient Safety Goals。  new window
 
 
 
 
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