降低內科住院病人非計劃性周邊靜脈重注率

周邊靜脈輸液治療是住院中最常遇到之醫療措施，在其輸液過程中，若護理人員未提供妥善照護，則容易影響病人安全，致必須重新注射。專案實施時間為2010年1月至9月，針對內科病房中接受靜脈輸液治療之病人，探討其非計劃性周邊靜脈重注之原因，其主要原因為靜脈溶液外滲浸潤、導管阻塞、局部靜脈炎三大類，本專案藉由：1.舉辦護理人員靜脈輸液教育訓練；2.加強輸液導管固定方式並定期查核；3.製定「靜脈輸液檢視卡」；4.製做靜脈注射技術流程「IC順口溜」(Intravenous Cathter；靜脈內導管)，使同仁可以簡單記住靜脈注射之步驟及注意事項，結果顯示靜脈重注率由原39%降低爲12.5%。本專案改善具顯著成效，提升護理人員服務照顧品質，進而也降低了醫療成本的耗費。

關鍵字

內科住院病人；非計劃性靜脈重注

並列摘要

Peripheral intravenous (IV) infusion therapy is the most common medical procedure among inpatients. During IV fluid therapy, inadequate nursing care raises concerns over patient safety and increases re-injection rate. The implementation period ranged from January to September 2010, examining the causes of unplanned peripheral IV re-injection in medical inpatients who were receiving IV fluid therapy. We found that infiltration of IV solution, catheter occlusion and local phlebitis were the three most common causes of unplanned re-injection. This project was implemented via four programs: (1)IV infusion nursing education and training (2)strengthening infusion catheter fixation and regular IV check (3)developing ”IV fluids inspection card” (4)making IV injection technical process ”IC (intravenous catheter) mnemonics ” in order to help nurses to easily remember the IV procedure and the items to notice. The results showed that IV re-injection rate was reduced from 39% to 12.5%. It was significant in improving quality of nursing care and therefore decreasing healthcare expenditure.

並列關鍵字

medical inpatients ； unplanned intravenous re-injection

被引用紀錄

李莉珍、許榕珊、吳虹諗、謝春蘭、李玉芳、陳麗貞（2018）。降低急診常規給藥逾時率改善專案。健康科技期刊，4(2)，59-73。https://doi.org/10.6979/TJHS.201803_4(2).0005

陳秋曲、林詣茜、郭志強、陳瓊瑤、林玉茹（2019）。降低肝膽腸胃科病房非計畫性週邊靜脈留置針重注率之改善專案。榮總護理，36(2)，143-151。https://doi.org/10.6142/VGHN.201906_36(2).0004

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降低內科住院病人非計劃性周邊靜脈重注率

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