病患安全與院內醫療作業－並論以病人為中心的核子醫學檢查

Patient Safety and Health Care Practice － Co-discussion of Patient-Centered Nuclear Medicine Service

王昱豐(Yuh-Feng Wang)

《核子醫學雜誌》 17卷3期 (2004/09) Pp. 153-160

摘要

以病人為中心的醫療思維是未來醫療作業中相當受重視的部分，其中有很在的部份是在討論病患安全的問題。病患安全，並不只在乎有沒有打錯針、給錯藥而已，重要的是以系統化的思考、具體化的作為減低甚至完全去除危害病患安全事件的發生。其中，建立安全文化與推動通報制度，諸如多年來工業界或飛行安全所推動的六個標準差的觀念及作為，已經獲得廣泛的驗證及成效，然而醫界卻落後許多，各類難以想像的安全事件仍經常出現，其他未經揭露者更不知凡幾。本文將討論此一議題，並整理文獻以及其他務國的作法與安全工作推動的方向，供國內醫界參考。此外，針對核子醫學的檢查作業，本文也就作業中可再注意或改善的部分提出淺見，冀能推動核醫檢查朝向以病人為中心的醫療理念前進。

關鍵字

以病人為中心 ； 病患安全 ； 核子醫學

並列摘要

Patient-centered service will be the important medical consideration in part of health care system in the future; patient safety is the major discussion content. Patient safety is not just focusing on how to prevent wrong injection or drug administration, but through the application of systematic conception and concrete strategies to reduce or even eradicate the occurrence of adverse medical events. Hereinto, safety cultures and reporting system establishment by industry or aerospace industry with the use of “six sigma” as models and methods had been approved its benefits and effects. Unfortunately, health care system is far behind on this issue. Importantly, even though all kinds of safety issues had been reported, there were still lots of adverse events not disclosure. In this article, we will focus on the discussion of patient safety, and provide some recommendations according to literature reviews and strategies or guideline that had been applied by other developed countries. In addition, based on current nuclear medicine studies, we would like to provide some opinions regarding what should be concerned and improved in order to achieve the real goals of patient safety in nuclear medicine service.

並列關鍵字

patient-centered ； patient safety ； nuclear medicine