RFID暨PDA臨床路徑患者照護及護理交班輔助系統之開發

Developing a RFID-and-PDA-based Nursing Shift Support System for Caring Clinical-Pathway In-Patients

佘建成(Chien-Cheng She) ； 張博論(Po-Lun Chang)

《醫療資訊雜誌》 16卷1期 (2007/03) Pp. 33-46

https://doi.org/10.29829/TJTAMI.200703.0003

摘要

本研究目的是以剖腹式膽囊切除術臨床路徑為例，透過智慧型標籤(Radio Frequency Identification System, RFID)技術與個人數位助理(Personal Digital Assistant, PDA)的結合，提供一套適用於床邊之護理交班輔助工具，協助護理人員更精確辨識病人身份(Positive Patient Identification, PPI)及支援照護點(Point-of-Care, POC)照護，加強病患安全。
系統設計採用COMPAQ's iPAQ 3650 PDA、OMRON's V720S RFID可讀寫頭、Philips's 128 Bytes I-CODE II被動式標籤。PDA端使用微軟eMbedded Visual Basic開發程式，桌上端則使用Visual Basic 6.0開發。Davis的科技接受度模式則用來評估十位台北某教學醫學中心一般外科病房護理人員對於本系統有用性與易用性的認知。
完成之系統包含病患身份辨識、臨床路徑護理交班作業輔助、即時性衛教資訊服務及與後端資料庫的串聯機制四功能。值班護理人員可經由RFID及PDA的輔助來記錄患者照顧記錄，以便利後續照護與交班。經評估結果有80%受訪者認為本系統可以節省交班時間並減輕壓力，有90%的受訪者皆認同本系統對臨床護理的照護品質與病患權益有潛在的助益。
本研究結果顯示RFID及PDA，可以用來作為護理人員臨床照護之輔助工具，並支援交班、訓練與後續品管分析。

關鍵字

護理交班 ； RFID ； 精確辨識病人身份 ； 支援照護點

並列摘要

The objectives of this study were to technically testing the feasibility of combining the RFID and PDA technologies in nursing care and to develop a support system for the nursing shift for demonstration, which featured with ”Positive Patient Identification, PPI” and ”Point-of-Care, POC” for patient's safety and security. The management of cases with clinical pathway for the laparocholecystectomy patients was used to design the system.
The COMPAQ's iPAQ 3650 Pocket PC and the Microsoft eMbedded Visual Basic were used to design the PDA subsystem. The OMRON's V720S CF R/W reader and Philips's 128 Bytes I-CODE II passive tags were used for the RFID readers and tags separately. The Visual Basic 6.0 was used to code the desktop subsystem. The Davis' Technology Acceptance Model was used to examine the perceived ease of use and usefulness of system for 10 nurse subjects from the General Surgery In-patient Ward of a teaching medical center in Taipei.
The system consists of 4 functions: Patient Identification, Shift Support, Patient Education, and Data Linkage to the backend database. Nurses on duty could find and record the caring information for patients through the PDA installed with RFID R/D reader. The information could then be used to support nursing care and shift operation. The evaluation results showed that 80% of the interviewed nurses agreed that the system might be able to reduce the nursing shift interval and to ease the mind load. 90% of the subjects agreed with that the system might be potentially capable of improving nursing care quality.
The study showed that the RFID-PDA-based system could be used as point-of-care equipment for nursing and is capable of supporting staffs in nursing shift tasks, training and data analyzing for the quality assurance.

並列關鍵字

Nursing Shift ； Radio Frequency Identification System ； Positive Patient Identification ； Point-of-care