提升術中腹部熱化療防護安全正確性

Improvement of the Safety and Accuracy of the Administration of Hyperthermic Intraperitoneal Chemotherapy During Surgery

許云菁(Yun-Ching Hsu) ； 巫祈明(Chi-Ming Wu) ； 劉思妤(Si-Yu Liu) ； 劉芸嘉(Yun-Chia Liu) ； 李心瑜(Shine-Yu Lee) ； 王琦(Chi Wang)

《志為護理-慈濟護理雜誌》 20卷4期 (2021/08) Pp. 55-65

摘要

化學治療藥物屬高危險用藥，而給藥安全及職業安全是新制醫院評鑑中重要指標。化學治療的給藥方式日新月異，本院自2015年開始執行腹部熱化療至今，經現況分析發現，人員對腹部熱化療認知正確性55.2%，而腹部熱化療防護安全正確性僅50.4%，故引發改善之動機，解決方案為新增腹部熱化療護理標準作業書、增設防潑灑防護工具箱、增設稽核制度、舉辦專科在職教育訓練，經專案改善後，認知正確性由改善前55.2%提升至100%，防護安全正確性由改善前50.4%提升至100%，已達專案目的。期望此專案能提供各醫療院所，重視腹部熱化療的職業防護安全。

關鍵字

手術室 ； 腹部熱化療 ； 防護安全

並列摘要

Chemotherapy drugs are high-risk medications, and medication and occupational safety are important indicators in the new method of hospital accreditation. Hyperthermic intraperitoneal chemotherapy (HIPEC) is a new approach in our unit that was established in 2015. The motivation for improvement was based on an analysis of the current status, in which the correctness of the cognition of administration of HIPEC is 55.2%, and the correctness of the safety of chemotherapy administration was only 50.4%. Solutions have been established to create a standard operation procedure for nursing care during HIPEC administration, including a splash prevention kit for chemotherapy treatment, an audit system, and in-service education training. After implementing this specific project for improvement, the correctness of the cognition was increased from 55.2% to 100%, and the correctness of the safety of chemotherapy administration improved from 50.4% to 100%, both of which reached the project's goal. This project is expected to increase the awareness of occupational safety during the administration of chemotherapy drugs in medical institutions.

並列關鍵字

hyperthermic intraperitoneal chemotherapy ； operating room ； protection and safety

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