- 期刊
運用多元策略提升急診病人術前準備作業完整率
Multiple Enhancement Strategies to Investigate the Completion Rate of Preoperative Care in the Emergency Department
摘要
本專案主旨在運用多元策略提升急診病人術前準備作業完整率， 並依據衛福部109－110年度醫院醫療品質及病人安全工作目標：提高手術安全，調查結果本單位2018年11月份手術前準備作業完整率僅72.92%，且執行術前準備作業認知率僅81.90%。現況分析瞭解後，提出解決方法：（一）制訂標準與稽核辦法、（二）規範查核表使用標準、（三）舉辦遊戲式教學課程、（四）運用同意書填寫指南針、（五）製作術速包、（六）創作順口溜、（七）製作學習繪本。經措施執行後，人員執行術前準備作業完整性及認知率達100%，達專案目的且成效良好，計劃將對策平行推展至外科病房，以協助提升術前準備完整性，保障病人安全，為護理盡一份心力。
並列摘要
Multiple enhancement strategies have been used to investigate the completion rate of preoperative care in the emergency department. Preoperative patient care was investigated based on the Ministry of Health and Welfare's annual goals in improving medical quality and surgical patients' safety in 2020-2021.The study showed the completion rate of preoperative care was 72.92% in November 2018. The rate of nursing staff acknowledging the standard and accuracy of the preoperative preparation was 81.90%. The following strategies were used to improve the preoperative care: (1) to establish standards of preoperative preparation in emergency department, (2) to develop a preoperative consent checklist, (3) to improve learning by incorporating a game in teaching, (4) to use an example to guide the patients to complete the preoperative consent form, (5) to include the items of preoperative care in a ready package, (6) to develop catchy phrase to help in the preoperative preparation, (7) to use a cartoon to help the staff and the patients acknowledge the preparation of the preoperative care. The completion rate of the preoperative preparation and the rate of the nursing staff acknowledging the standard and accuracy of the preoperative preparation have reached 100%. In conclusion, the multiple enhancement strategies showed an effective measure to improve the preoperative care in the emergency department. Acknowledgment: Our effort has been acknowledged by the surgical ward and was adapted to the surgical patient care.