- 期刊
提升住院病人自備藥管理正確率之專案
Project for Improving the Self-Prepared Medication Management Correct Rate for Hospitalized Patients
摘要
本院2016年發生多件自備藥未還病人，住院病人自備藥管理正確率僅44.0%，原因為忘記歸還自備藥、不清楚有自備藥管理程序書、自備藥櫃太小、無自備藥提醒機制、無自備藥外袋標註規範、無規範護理工作車放置自備藥位置。擬定改善對策為1.請行政人員辦理病人出院時，檢視自備藥櫃、2.宣導及建置列管文件之查詢路徑、3.專人依單位屬性規劃自備藥櫃、4.在UD藥盒外黏貼自備藥標籤、5.印製「病人自備藥」標籤貼紙、6.建立「原包裝」單片（包）自備藥給藥規範。專案自2016年08月01日至2017年12月31日，改善後醫護人員執行住院病人自備藥管理正確率達100%，且效果維持成效良好，顯示改善策略成效卓著。
並列摘要
In 2016, many self-prepared medications were not returned to patients, and the correct rate of self-prepared medication management in hospitals was only 44.0%. Such reasons included forgetting to return the medication, an unclear self-prepared medication management program, the medication cabinet being too small, no medication reminder system, no medication packaging labeling specifications, and no standard position for medication on the clinical cart. The proposed improvement strategies were as follows: 1. When the administrative staff handles the patient's discharge, they will review their self-prepared medication cabinet; 2. Advocate the document query path listed in the file center of the hospital; 3. Make a dedicated person responsible for planning the self-prepared medication cabinet according to the characteristics of the unit; 4. Paste the label of self-prepared medication on the UD drug box; 5. Print ＂Patient Self-Prepared Medication＂ label stickers; and 6. Establish an ＂original package＂ single-chip (package) self-prepared medication delivery specification. This intervention took place from August 1, 2016 to December 31, 2017, and after, the correct rate of management with the self-administered medication for hospitalized patient improved to 100% and the effect was maintained well, which meant that the improvement strategy was highly effective.