- 期刊
降低呼吸照護病房單位內交班遺漏率專案
A Project to Reduce Omission Rate of Hand-off Report in Respiratory Care Ward
摘要
交班是重要的護理專業實務，而交班完整可提高病人安全、降低人員間衝突，達到持續性照護之目標。2016年9月12日至18日小組稽核發現，護理人員單位內交班遺漏達38.29%，主要原因為對交班內容認知不同、缺乏交班制度、個人小抄交班單未統一及護理交班單不符實際需求等問題。為達降至10%的目標值，藉由建立交班共識項目、製作交班指引單、制定呼吸照護病房專用交班原則、制定交班順序清單、統一單位個人交班單、修訂Kardex交班單及Kardex交班單顏色化等改善方案後，單位內交班遺漏率降至4.46%。專案運用ISBAR模式與交班項目結合，讓交班認知一致，進而降低交班遺漏率，獲得護理人員的正向肯定，達專案改善目的。
並列摘要
The nurse-to-nurse handover is an important practice of nursing, Completion of the handover can improve the patient's safety, reduce the conflict between staffs and reach the goal of continuous care. From September 12th to 18th, 2016, we found that the omission rate of the hand-off report was 38.29%. The main causes of this were different cognition on the contents of the handover, lack of handover system, the un-unified personal cheat sheet, and the kardex not conforming to the actual demand. For reaching the goal of 10%. After setting up a consensus project, creating the shift guideline, formulating the special shift principle for the respiratory care ward, making order list of the shifts, unifying the individual shift orders, revising the kardex, and color-coding the kardex, the omission rate had dropped from 38.29% to 4.46%. This project used the ISBAR mode and integrated the handover items to make the handover cognition to be consistent, then reduced the handover omission rate and obtained the nursing staff's positive affirmation. The goals of the project were achieved.
延伸閱讀
- 梁淑倩、曾月盃、王文良（2010）。降低呼吸照護病房照顧服務員異常事件之改善方案。長期照護雜誌，14(1)，59-74。https://doi.org/10.6317/LTC.201004_14(1).0006
- 陳徵維、傅珮儀、蔡麗萍、陳彩惠（2022）。降低呼吸照護病房病人壓傷發生率。領導護理，23(3)，150-165。https://doi.org/10.29494/LN.202209_23(3).0011
- 涂晟暘、曾怡樺、李誼柔、劉雅真、陳素惠、李麗紅（2021）。降低加護病房非計劃性氣管內管拔管之改善專案。秀傳醫學雜誌，20(1)，1-7。https://doi.org/10.3966/156104972021062001001
- 黃秀文、吳雅雯（2007）。某呼吸照護病房降低呼吸器管路鬆脫率之改善專案。長期照護雜誌，11(1)，67-75。https://doi.org/10.6317/LTC.200703_11(1).0006
- 李雅婷、陳汶君、陳庭潔、莊馥蓮、葉玫伶（2022）。Project for Improving Nursing Manipulation to Reduce the Incidence of Prolonged Patient Stay in the Recovery Room。榮總護理，39(4)，361-369。https://doi.org/10.6142/VGHN.202212_39(4).0004