提升護理人員對智能藥櫃使用正確率之改善專案

本專案旨在提升護理人員對於智能藥櫃使用正確率，單位自2020年2月開始推動智能藥櫃取用緊急及臨時性藥物，經專案小組調查發現，人員對智能藥櫃新系統認知及操作不熟，造成使用率偏低，透過本專案：舉辦教育訓練及製作「智能藥櫃簡易操作流程圖」、拍攝錄製「藥你安全」動態影片措施、製作「智能藥櫃簡易異常排除流程表」等，讓人員對於智能藥櫃的認知及操作技能提升。方案介入後，護理人員對智能藥櫃認知正確率由62.6%提升至95.7%，智能藥櫃使用正確率由55.2%提升至96.4%。期望透過此專案改善方式推廣至其他單位，運用人工智慧優化住院病人給藥流程，使給藥流程更加順暢與安全，為病人帶來更高的醫療品質。

關鍵字

智能藥櫃；用藥安全；操作正確性

並列摘要

The main purpose of this project is to increase the accuracy when operating automated dispensing cabinets (ADC) by nursing staff. The nursing station has started to promote the usage of emergency and temporary medicines by operating ADC since February 2020. The task force found that the reasons causing low executive rare is misunderstanding and unfamiliarity when operating ADC by nursing staff. The project aimed to provide internal education training programs with the aim of increasing the accuracy rate by: making simple-operation flow charts of automated dispensing cabinets, abnormal exclusion tables of automated dispensing cabinets, and recording an education video "medicine you are safe". The knowledge rate of operating ADC by nursing staff improved from 62.6% to 95.7%, and the accuracy rate of operating ADC also improved from 55.2% to 96.4% by implementing the program. We hope this training project will be made available to others and the artificial intelligence will optimize drug delivery process when making prescriptions to in-patient. The ADC will deliver medicines faster and safer, and achieve higher health care quality for patients.

並列關鍵字

accuracy of operation ； automated dispensing cabinet ； medication safety

參考文獻

吳玉菁、楊登凱、阮祺文、雷粟蓉(2019) 提升放射診斷科之醫療儀器請修作業效能：精實醫療．弘光學報，85，1-12。https://doi.org/10.6615/HAR.202003_(85).0001

李凱琳、吳雪紅、王瓊瑛、羅翊邦(2018)運用多媒體提升護理人員痔瘡手術前後護理指導認知正確率與完整率之改善專案．源遠護理，12(2)，41-49。https://doi.org/10.6530/YYN/201807_12(2).0005

張珮嘉、洪麗琴、鄭玉琪、賴韻婷(2020) 縮短腫瘤暨綜合科病房護理人員點班時間改善專案．榮總護理，37(3)，290-297。https://doi.org/10.6142/VGHN.202009_37(3).0008

陳學源、湯念湖(2019) 由「自動化調劑藥櫃」看未來臺灣住院病人給藥模式．臺灣臨床藥學雜誌，27(3)，171-179。https://doi.org/10.6168/FJCP.201907_27(3).0001

葉婷芳、洪湘芸、何蘭芝、王琦、賀倫惠、饒慧娟(2019) 提升手術室護理人員對複合式手術室儀器使用正確性之專案．長庚護理，30 (2)，204-216。https://doi.org/10.6386/CGN.201906_30(2).0007

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