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縮短急救責任區獲得急救設備時間

Reducing the Time to Carry Aid Equipment to Responsible Zones

摘要


急救總是分秒必爭,如何縮短準備時間非常重要,因此本專案旨在縮短急救責任區獲得急救設備時間,使急救能盡速開始。現況分析發現:急救責任區獲得急救設備的時間為5分25秒,期望獲得的時間能縮短到4分以內。導致時間延遲的原因為:急救車內用物多且體積大、急救設備太重搬運不易、推急救設備時奔跑無法快速前進。因此提出改善方案:重新規劃急救設備,以攜帶型AED取代電擊器及急救背包取代急救車。方案實施結果:急救設備到達急救責任區時間,從5分25秒縮短為3分5秒,達到專案目的所設定之4分的目標。因此,本專案之改善,確實有效的縮短急救責任區獲得急救設備時間,提升緊急救護的品質。

關鍵字

縮短時間 急救設備 責任區

並列摘要


An emergency is always against the clock. How to shorten the preparation time thus is very important. The goal of this project was that by reducing the time to get aid equipment to responsible zones, emergency nurses could begin to rescue as soon as possible. The analysis showed that the time to carry aid equipment to responsible zones was 5 minutes and 25 seconds. The expected time could be shortened to less than 4 minutes. The reason for time delay was mainly due to bulk items in the ambulance. It was not easy for emergency nurses to run fast when carrying and pushing aid equipment. The proposed improvement plan was re-planning aid equipment, such as replacing the portable defibrillator with AED and replacing the emergency bag with the ambulance. The result of implementing the program was that the time for aid equipment to reach responsible zones was reduced from 5 minutes and 25 seconds to 3 minutes and 5 seconds, achieving 4 minutes target set by the purpose of this project. The project was effective to reduce the time to get aid equipment to responsible zones and improve the quality of emergency care.

參考文獻


邱俊仁、徐國基、吳鋼治、邱浩彰、楊國卿、侯勝茂、張嘉宇、賴寶琴、施玉珊、鄭瑞楠、廖若雯、廖熏香(2014)‧以醫療品質突破系列提昇院內心跳停止事件急救之照護品質‧台灣醫學,18(2),226-237。
邱俊仁、程俊傑、吳鋼治、邱浩彰、楊國卿、侯勝茂(2012)‧院內心肺復甦(CPR)之成效‧台灣醫學,16(1),34- 39。
胡勝川(2010)‧BLS加ALS訓練課程之我見‧台灣醫界,53(8),54-55。
馬惠明(2012)‧CPR+AED讓急救更即時談自動體外心臟電擊器‧健康世界,314,41- 44。
施美秀、桑潁潁、胡勝川(2011)‧2010年版美國心臟學會心肺復甦術準則之重大改變‧榮總護理,28(2),213- 218。

被引用紀錄


李心云、黃怡雅、林瑞香、徐雯娟(2020)。提升胃腸肝膽科病房急救作業完整性台灣醫學24(3),314-323。https://doi.org/10.6320/FJM.202005_24(3).0011
彭淑敏、林欣薇、辜美安、詹怡佳(2019)。身心科急性病房護理團隊於急救小組到達前之急救流程改善方案榮總護理36(2),152-161。https://doi.org/10.6142/VGHN.201906_36(2).0005

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