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提升救護品質：通過確認AED貼片位置提高電擊成功率個案研究
Improving Emergency Medical Services Quality: Enhancing Defibrillation Success Rate by Verifying AED Pad Placement - A Case Study
摘要
研究背景：院外心跳停止（Out-of-Hospital Cardiac Arrest, OHCA）是急救醫療服務中的重大挑戰，其中自動體外去顫器（Automated External Defibrillators, AED）的正確使用對於提高患者生存率至關重要。本研究利用品質管理、訓練、現場團隊合作，針對永利分隊處理的OHCA案例進行分析改善，目的是探索提升電擊成功率的可能途徑。個案簡介：在2022年的OHCA案例中，永利分隊利用現場救護錄影進行品質管理發現貼片位置不當是影響電擊成功率的關鍵因素。為此，分隊實施了一系列改進措施，包括科學化的訓練、強化團隊資源管理，以及在實際勤務中對貼片位置準確性的關注。研究結論：這些措施顯著提升了貼片的正確放置率，從2022年的6.25%提升至2023年的57.1%。同時，去顫成功率也有了明顯的提升，並且有3位患者在現場成功恢復心跳，最終康復出院。這些結果強調了在OHCA救治中，對貼片正確放置的重視對提升生存率的重要性。
並列摘要
Background: Out-of-Hospital Cardiac Arrest (OHCA) presents a significant challenge in emergency medical ser-vices. The correct use of Automated External Defibrillators (AEDs) is crucial for improving patient survival rates. This study focuses on analyzing and improving OHCA cases handled by the YONG-LI Squad, utilizing quality management, training, and on-site team collaboration, with the goal of exploring potential avenues to enhance defibrillation success rates. Case Description: I In the 2022 OHCA cases, the YONG-LI Squad, through the use of on-site ambulance video recordings for quality management, identified improper placement of AED pads as a key factor affecting the success rate of defibrillation. Consequently, the squad implemented a series of improvement measures, including scientific training, enhanced team resource management, and heightened attention to the accuracy of pad placement during actual service. Discussion: These measures significantly increased the correct placement rate of defibrillator pads from 6.25% in 2022 to 57.1% in 2023. Concurrently, there was a notable increase in the success rate of defibrillation. Moreover, three patients successfully regained a heartbeat on the scene and ultimately recovered and were discharged. These results underscore the importance of proper pad placement in OHCA treatment for improving survival rates.