運用跨團隊合作縮短急診敗血症處置時效

Using Interdisciplinary Teamwork to Shorten the Timeliness of Emergency Sepsis Management

江曉敏(Hsiao-Min Chiang) ； 陳冬蜜(Tung-Mi Chen) ； 陳虹吟(Hung-Yin Chen) ； 練美華(Mei-Hua Lien) ； 丁淇平(Chi-Ping Ting) ； 吳秋蜜(Ciou-Mi Wu)

《志為護理-慈濟護理雜誌》 20卷4期 (2021/08) Pp. 66-77

摘要

敗血症是急重症病人死亡的主因之一，臨床上需即刻鑑別及啟動照護，2017年本院急診敗血症個案2,331件，到院3小時內接受治療處置僅11件，檢視原因為未建置標準作業流程及無整合照護。本案在提升急診敗血症流程之時效與照護認知，經調查分析發現，處置時間高達4小時21分9秒、照護認知正確率僅62.9%，故運用醫療團隊資源管理導入跨領域合作、工作規範機制及團隊溝通，制定標準作業流程，使處置時間縮短至3小時內，照護認知正確率達95%，藉由跨團隊合作改善潛在問題，順利建置標準流程縮短作業時間，提升以病人為中心的醫療服務及照護品質。

關鍵字

急診 ； 敗血症 ； 跨領域團隊合作

並列摘要

Sepsis is one of the main causes of death in acute and severe patients. Thus, immediate identification and proper care for sepsis are clinically necessary. The emergency department had 2,331 sepsis cases in 2017. Only 11 cases were treated within 3 hours of arrival at the hospital which may be because the standard operating procedures have not been established and integrated care was lacking. This case report aims to improve the timeliness and care awareness of the emergency sepsis process. The treatment time was up to 4 hours, 21min, 9sec, after investigation and analysis of the current situation. In addition, the correct rate of care awareness was only 62.9%. Thus, the medical team resource management was used to introduce cross-disciplinary cooperation, work specification mechanism, and team communication to achieve consensus, formulate standard operating procedures, promote the treatment time limit to within 3 hours, and improve the cognitive accuracy rate of care to 95%. Interdisciplinary Teamwork not only improves potential problems but also smoothly builds standard processes to shorten operation time, and ultimately improves the quality of patient-centered medical services and care.

並列關鍵字

emergency ； interdisciplinary teamwork ； sepsis

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