提升整形外科護理人員計價完整率

物料計價不完整會影響單位成本、臨床作業流暢度及病人安全。本專案的目的為提升整形外科護理人員計價完整率，現況分析發現，整形外科護理人員計價完整率僅達63.5%。確立原因：計價認知正確率低，人員不熟悉計價，計價項目缺乏專科性，在職教育課程針對計價相關內容過少。實際解決方案：舉辦「專科性計價認知說明會」、製作「計價查詢範本」、「計價懶人包」、「專科常用的計價處置項目對照表」、「專科計價項目提示卡」及「計價完整提醒標語」，建立查核機制。透過專案改善後，整形外科護理人員計價完整率提升至95.3%，建議計價認知說明應納入人員在職教育，建立正確計價觀念，提升護理人員工作效率及病人安全品質。

關鍵字

計價完整率；計價認知；整形外科

並列摘要

An incomplete approach for charge completeness not only results in increase of costs and decrease in productivity, but also affects the patient safety. The purpose of this project is to improve the approach for charge completeness of nurses in plastic surgery. Before the improvement program, the charge completeness of nurses in plastic surgery was 63.5%. After analyzing the current status, we found that there was low levels of the overall knowledge about charge completeness, the staff with unaware/unfamiliar with the pricing, the pricing project lacked specialty, and less charge completeness education courses. The improvement approaches included: establishment of charge assisting tools such as ＂template for demand charge＂, ＂charge of easy and convenient,＂ and establishing an audit team, providing specialized education. After the improvement program, the approach for charge completeness of nurses in plastic surgery increased to 95.3%. The program not only improved the nurses' knowledge about charge and charge completeness, but also promoted the patient safety.

並列關鍵字

charge completeness ； knowledge about charge ； plastic surgery

參考文獻

李美芳、蕭玉霜、呂佳玟、林美華(2014)．降低某區域教學醫院手術室醫衛材計價漏帳之專案．秀傳醫學雜誌，13(1-2)，37-46。doi:10.3966/156104972014061301007

林淑真(2016)．運用模糊整合性存貨模式評估醫療衛材之研究．管理資訊計算，5 (1)，137-155。doi:10.6285/MIC.5(1).12

許云菁、陳育宜、林玉棉、吳素蘭、王琦、賀倫惠(2018)．運用資訊化系統提升手術室骨科材料計價正確率．新臺北護理期刊，20，41-51。doi:10.6540/NTJN.2018.1.004

莊佳惠、歐蕙華、楊于青、李逸(2015)．運用倉儲管理手法提升居家護理所醫療衛材管理之方案．長庚護理，26 (2)，179-191。doi:10.3966%2f102673012015062602006

陳怡甄、郭素娥、阮祺文(2017)．護理人員的病人安全文化對工作生活平衡之影響復原力之調節效果．弘光學報，80，P13-26。doi:10.6615/HAR.201709.80.02

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提升整形外科護理人員計價完整率

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