提升手術室超低溫冷凍櫃管理之正確率專案

手術室超低溫冷凍櫃是儲存珍貴頭蓋骨的地方，日後會再植入病人體內或家屬領回，存取作業的正確關係著病人手術安全及醫療品質，故進行此改善。經調查發現：1)護理人員方面：對存取操作及家屬領回作業內容不了解；2)制度方面：缺乏操作標示、無相關教育訓練、存取標準作業程序不明確、設備維護內容不明確及未建立稽核制度。改善方案為：舉辦在職教育、制定操作步驟與標示、擬定簡易異常排除標準及因應辦法、週遭環境設備維護的檢視、定期稽核與追蹤機制。經介入方案後，存取操作正確率83％提升至100％；認知程度85％提升至100％；本專案確實達到提昇手術室超低溫冷凍櫃管理作業之正確率，保障病人自我組織保存及使用時的安全，避免異常發生。

關鍵字

超低溫冷凍櫃；頭蓋骨；手術室

並列摘要

Ultra-low temperature refrigerators are important storage sites for preserving cranial bones for either re-implantation or returning to donor's family. Assuring correct execution of the access operation determines patient safety and medical quality. The aim of this proposal was to ensure correct execution of the storage access operation. An investigation revealed that: 1). Nursing staff lack experience in executing the access operation and the procedure for returning bones to the family; 2). Lack of procedural indicators, pertinent training program, precise standard operating procedure, correct equipment maintenance record, and inspection system. The proposed improvements were: holding continuous education program, make procedural flow chart and indicators, draft trouble shooting manual, establish regular maintenance, periodic inspection of equipment and a tracking mechanism. After appropriate intervention, the correct execution of access operation increased from 83% to 100%. The cognition of correct execution of access operation increased from 85% to 100%. We concluded that correct execution of access operation could avoid preventable mistakes and assure the preservation of preserved patient tissues.

並列關鍵字

cranial bone ； operation ； ultra-low temperature refrigerator

國際替代計量

提升手術室超低溫冷凍櫃管理之正確率專案

全文下載

主題瀏覽