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題名:縮短顏面骨折導航手術前準備時間之專案
書刊名:長庚護理
作者:羅詒貞王琦賀倫惠陳玉潔戴秋玉
作者(外文):Lo, Yi-chenWang, ChiHo, Lun HuiChen, Yu-chiehDai, Chiu-yu
出版日期:2018
卷期:29:3=103
頁次:頁393-406
主題關鍵詞:手術室導航手術術前準備時間OperatingNavigation surgeryPreoperative preparation time
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:2
顱顏導航系統可提升術中骨折復位準確率,亦避免造成神經、血管等重要結構的損傷;於術中即時告知醫師重建是否到位及達到顏面對稱效果。現況發現導航手術準備時間平均43.7分鐘,造成原因:一、人員面:顏面骨折導航手術準備認知不足,材料用物準備、器械組裝及導航系統操作不熟悉。二、設備面:導航影像系統、器械材料無整合。三、制度面:無手術標準作業、在職教育訓練。改善方案: 規劃導航系統定點定位、設置顏面骨折導航手術專用盒、制定導航手術準備作業標準、製作導航手術準備影音光碟、舉辦在職教育訓練。改善後手術準備時間從43.7分鐘降至12.7分鐘,導航手術準備認知正確率由55%提升至92%,達到專案目的。有效縮短手術整體時間,提升手術醫療照護之安全性。
The craniofacial navigating system can increase the accuracy of fracture replacement in the operation and avoid damaging important structures like nerve and blood vessels; moreover, it can show the effects of replacement and the effect of facial symmetry in the operation. At present, the average preparation time of the navigating operation was 43.7 minutes, and the reasons for the long preparation time are as follows: 1) Staff: the staff have inadequate knowledge of the preparation for the facial bone fracture navigating operation and are unfamiliar with the preparation of materials, the equipment assembly and the operation of the navigating system; 2) Equipment: the navigating image system and the equipment are incomplete; 3) System: the operation standards and in-service training are unavailable. The improvement measures were as follows: planned a designated place for placement of the navigating system; established a special box for the facial bone fracture navigating operation; created standards for the navigating operation; made education discs about the navigating operation; and offered in-service training. After the improvement, the average preparation time reduced from 43.7 minutes to 12.7 minutes and the accuracy of the understanding of the preparation for the navigating operation rose from 55% to 92%, which met the objective of this special plan. The achievement of this special plan can not only shorten the operation time but also enhance the safety of medical care of the operation.
期刊論文
1.吳寶媛、莊玉如、李夢英、賀倫惠、王琦、石惠美(20130600)。降低手術器械包盤重製率與其效益分析。醫務管理期刊,14(2),163-181。new window  延伸查詢new window
2.張訓誠、楊智仁、陳敏慧、林佳詠(20131200)。顏面骨及顎骨骨折處理:病例報告。中華民國家庭牙醫學雜誌,8(3),20-28。  延伸查詢new window
3.李書芬、郭梅珍(20141200)。身體檢查與評估技術影音教學光碟與手冊之製作與應用。耕莘學報,12,5-14。  延伸查詢new window
4.吳威龍、沈炳宏、賴仁淙(20120700)。以導航系統輔助的鼻竇內視鏡手術--某區域醫院經驗。臺灣耳鼻喉頭頸外科雜誌,47(3),191-198。  延伸查詢new window
5.吳凱文、張至宏、楊榮森(20150100)。微創手術應用於骨腫瘤的治療。臺灣醫學,19(1),49-53。  延伸查詢new window
6.林麗華、劉秋玉、吳幸芬、伍麗珠(2014)。降低手術銜接時間延遲率改善方案。領導護理,15(4),92-104。  延伸查詢new window
7.胡閔閔、徐欣儀、陳玉玲、謝瑛真、馮伶俐、陳瑪萍、張志洋、余美嬅(20150400)。提升第一臺手術下刀準時率。醫院,48(2),42-53。  延伸查詢new window
8.黃小芬、李麗華、邱彥菱、許皖茹、沈永釗、蔡麗紅(20111000)。提升大腸直腸外科病房手術病人術前準備完整性之改善專案。志為護理,10(5),77-87。  延伸查詢new window
9.黃瑞珍、吳寶珠、賴秋香、陳淑華、陳明芳、林淑惠(20161200)。縮短葉克膜手術前準備時間之專案。長庚護理,27(4)=96,521-532。new window  延伸查詢new window
10.曾祥建、范守仁、陳瑞源(20140300)。增加Sevoflurane麻醉的深度並未增加婦科手術患者術後噁心嘔吐的發生率。輔仁醫學期刊,12(1),27-35。  延伸查詢new window
11.劉淑惠、劉貞秀、李美德、楊勝舜、張淑娟(20110800)。手術室護理人員執行骨科手術前用物準備改善方案。高雄護理雜誌,28(2),22-32。  延伸查詢new window
12.Cho, B.、Oka, M.、Matsumoto, N.、Ouchida, R.、Hong, J.、Hashizume, M.(2013)。Warning navigation system using real-time safe region monitoring for otologic surgery。International Journal of Computer Assisted Radiology and Surgery,8(3),395-405。  new window
13.Rana, M.、Essig, H.、Eckardt, A. M.、Tavassol, F.、Ruecker, M.、Schramm, A.、Gellrich, N. C.(2012)。Advances and innovations in computer-assisted head and neck oncologic surgeiy。The Journal of Craniofacial Surgery,23(1),272-277。  new window
14.Seeberger, R.、Kane, G.、Hoffmann, J.、Eggers, G.(2012)。Accuracy assessment for navigated maxillo-facial surgery using an electromagnetic tracking device。Journal of Cranio-Maxillofacial Surgery,40(2),156-161。  new window
研究報告
1.內政部(2016)。機動車輛及交通事故年報。  延伸查詢new window
 
 
 
 
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