縮短骨科病房護理人員在各類骨科牽引用物準備時間之改善專案

Orthopaedic Traction Materials Preparation Time

黃淑華(Shu-Hua Huang) ； 陳淑卿(Shu-Ching Chen) ； 吳徐慧(Shieh-Hui Wu) ； 高有怡(You-Yi Gao) ； 盧瑞華(Jui-Hua Lu)

《醫護科技學刊》 9卷4期 (2007/10) Pp. 319-331

https://doi.org/10.6563/TJHS.2007.9(4).6

摘要

本專案目的爲(1)縮短骨科牽引用物的準備時間，(2)提升各層級護理人員在骨科牽引用物準備之正確率，(3)提升牽引用物儲存庫房內用物歸位之正確性。現況中發現護理人員因專業能力及在職教育不足、用物取用動線不佳、缺乏稽核制度、用物未正確歸位，而造成在骨科牽引用物準備的時間皮膚牽引爲12.7分，骨骼牽引爲11.7分，骨盆牽引爲9.2分，平均時間爲11.2分；在骨科牽引用物準備之正確率：皮膚牽引只達81.0%，骨骼牽引82.9%，骨盆牽引86.8%，庫房內牽引用物擺放位置之標示與內容物之正確率更僅有55%，因此，進行下列之改善：(1)規劃在職教育及宣導，(2)製作各類骨科牽引技術操作範本及用物準備之提示卡，及規劃放置及懸掛位置，(3)重新規劃骨科牽引用物儲存庫房用物之擺放位置，(4)建立稽核制度。改善後各層級護理人員(l)在各類骨科牽引用物的準備時問，皮膚牽引縮短至7.6分鐘。骨骼牽引爲6.4分鐘，骨盆牽引爲5.1分鐘。(2)在各類骨科牽引用物準備之正確率，皮膚牽引爲95.6%，骨骼牽引爲98.9%，骨盆牽引爲99.7%。(3)牽引用物儲存庫房內用物擺放之正確性爲100%。以上均達專案目的所設定之目標。因此，本專案之改善，確實有效的提升護理人員在骨科牽引用物準備的作業。

關鍵字

骨科牽引 ； 用物準備時間

並列摘要

The purpose of this project was (1) to reduce materials preparation time in orthopedic traction, (2) to correct materials preparation in orthopaedic traction, and (3) to correct materials storage. Before the improvement program, the materials preparation time for skin traction, skeleton traction and pelvic traction was 12.7 minutes, 11.7 minutes and 9.2 minutes, respectively, average materials preparation time was 11.2 minutes. The materials preparation correctness for skin traction, skeleton traction and pelvic traction was 81.0%, 82.9% and 86.8%, respectively. The materials storage correctness was 55%, indicating that the materials preparation of orthopaedic traction also needed to be improved. After analyzing the current status, recommended improvements were the following: (1) plan on-the-job training and teaching, (2) rearrange the storage of orthopaedic traction materials, (3) make suggestion cards available and (4) establish an auditing system. After implementing the improvement program, (1) the time for skin traction, skeletal traction and pelvic traction improved from 7.6 minutes, 6.4 minutes and 5.1 minutes to 5.1 minutes, 5.3 minutes and 5.1 minutes, respectively. (2)The correctness of materials preparation for skin traction, skeletal traction and pelvic traction improved from 81.0% to 95.6%, 82.9% to 98.9% and 86.8% to 99.7%, respectively. (3) The correctness of materials storage was 100%. Therefore, the program improved materials preparation for orthopaedic traction.

並列關鍵字

Orthopaedic traction ； materials preparation time

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