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運用品質管理循環縮短姑息性緊急放射治療之等候時間

APPLICATION OF PDCA MANAGEMENT CYCLE REDUCING THE WAITING TIME OF ONCOLOGICAL EMERGENCIES FOR RADIOTHERAPY PATIENTS

摘要


目的:放射治療於癌症治療中扮演著相當重要的角色,大約40% 之患者是接受姑息放射治療,常會有時間的緊迫性。如何縮短放射治療作業時間,是推動醫療服務品質極為重視的一環。本研究希望透過運用品質管理循環建立標準化流程並整合放射治療資訊系統,縮短緊急放射治療的等待治療時間,改善醫療服務品質。材料與方法:於2012 年6 月4 日至2012 年6 月29 日,共有26 人次接受緊急放射治療,依制定「緊急放射治療前置作業時間登記表」,針對每一位緊急放射治療病人之前置作業時間記錄,作為改善前數據收集。並於2012 年8 月1 日至9 月30 日期間,利用品管圈之手法,進行對策實施改善同時,收集此期間共53 人次接受緊急放射治療之前置作業時間記錄,作為改善後數據收集。結果:在介入措施前,結束模型暨斷層模擬定位作業到放射治療開始之間的平均約等候時間為48.00 分鐘。而在進行對策實施改善期間,而其平均約等候時間降為 28.47 分鐘(p < 0.001)。結論:運用品質管理循環可有效縮短病人接受緊急放射治療的等候時間,使病人減少不適感及不信任感。並維持治療排程的流暢性,更有效率的管控各項排程時間,避免因時間延遲造成病人及家屬抱怨。

並列摘要


Purpose : Radiotherapy plays an important role for cancer treatment. About 40% patients undergo palliative radiotherapy, which is usually emergent. How to shorten the proceeding time for radiotherapy is an important part to promote quality of medical service. We built a standard operation procedure to integrate the oncology information system for the emergent radiotherapy using Plan-Do-Check-Action (PDCA) management cycle. These procedures can shorten the waiting time of emergent radiotherapy and improve the quality of medical service. Materials and Methods : Twenty six patients underwent emergent radiotherapy from June 4, 2012 to June 29, 2012. According to the time-registry table before emergent radiotherapy, we checked the initial proceeding time of each patient for collecting pre-intervention data. Within duration of PDCA management cycle for improvement, fifty three patients were enrolled from August 1, 2012 to September 30, 2012. Proceeding time of each patient was also recorded after intervention. Result : The average waiting time between completion of CT simulation and starting of radiotherapy was 48.00 minute before the intervention. The time was reduced to 28.47 minute (p< 0.001) during intervention for improvement. Conclusion : Using PDCA management cycle can shorten the waiting time of emergent radiotherapy. It may let patients less unconformtable, keep schedule smoothing and effective before treatment, and avoid complain of patients and families due to waiting.

被引用紀錄


蔡蕙如、吳佳玲、蔡鈴琴(2019)。加護病房護理師對連續性腦波監測儀操作及照護改善專案志為護理-慈濟護理雜誌18(3),91-102。https://www.airitilibrary.com/Article/Detail?DocID=16831624-201906-201906270010-201906270010-91-102

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