運用資訊化系統改善神經內科加護病房計價衛材漏帳之專案

Study on Using an Information System to Reduce the Omission Rate of Charging Medical Materials in the Neurological Intensive Care Unit

林靜秀(Ching-Hsiu Lin) ； 林亭吟(Ting-Yin Lin) ； 蔡淑媛(Shu-Yuan Tsai) ； 林怡如(I-Ju Lin) ； 陳秀偵(Shiu-Chen Chen)

《志為護理-慈濟護理雜誌》 22卷1期 (2023/02) Pp. 94-107

摘要

計價衛材漏帳可能導致醫療成本增加，影響病人安全，本病房計價漏帳率為49.3%，專案目的旨在改善單位計價衛材漏帳率；訂定策略改善為：制定病房計價資訊系統作業操作流程、增設單位常用計價衛材操作功能項目及提醒字幕、制定查核制度及獎勵制度、制定單位計價衛材種類及價位表及舉辦資訊化系統作業在職教育。運用了計價資訊化系統及行動條碼手法改變了舊有對計價衛材的概念及計價方式，不僅改善了病房漏計價，也突顯護理人員除了能在工作上將其既有的專業發揮地淋漓盡致並走在資訊時代的尖端，計價衛材漏帳率也由改善前49.3%降至8.5%。

關鍵字

資訊化系統 ； 醫療衛材 ； 計價遺漏

並列摘要

Any omissions of charging medical materials can result in an increase in medical costs and even put patients' lives at risk. In this study, the omission rate for charging medical materials in one neurological intensive care unit was found to be 49.3%. In this report we conducted a literature review and matrix analysis of the relevant literature. The following improvement actions were then taken: establishing a standard operating procedure for charging medical materials on the information system; adding new functions for commonly used medical materials and reminders to the information system; drawing up an auditing and reward scheme; compiling a table listing the types and prices of medical materials; and providing on-the-job training for the information system. The use of an information system and QR codes innovated the perception of, and the solution to, charging medical materials. The result showed the omission rate for charging medical materials was reduced to 8.5% from 49.3% after the improvement actions. Not only did the omission rate for charging medical materials drop but nursing personnel also kept abreast of current technological developments.

並列關鍵字

information system ； medical materials ； omissions of charging medical materials

參考文獻

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(1)，41-51。https://doi.org/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。https://doi.org/10.3966/102673012015062602006. https://doi.org/10.6346/NPUST.2013.00192。

葉燕芬、戴綾儀、王麒惠(2019)．提升綜合科病房醫療衛材管理正確性之改善專案．醫務管理期刊，20(1)，65-81。https://doi.org/10.6174/JHM.201903_20(1).65。

藍湘湄、蔡薰儀、程音(2017)．運用資訊系統提升無痛鏡檢病人準備作業之完整率．領導護理，18 (4)，74-84。https://doi.org/10.29494/LN.201712_18(4).0007。

王春葉、林佑樺、林耀信、李建德(2017)．南部某醫學中心血液透析室推行資訊電子化之經驗．醫療品質，7(1)，9-16。