運用資訊科技提昇病人安全－以某癌症專科醫院爲例

The Information Technology Enhance Patient Safety on Medication in a Cancer Center

張黎露(Li-Lu Chang) ； 曹澤源(Chak-Yuen Tso) ； 鄭春秋(Chun-Chiu Cheng) ； 陳明琪(Ming-Chi Chen)

《醫保研究雜誌》 2卷1期 (2006/03) Pp. 1-8

https://doi.org/10.29827/YBYJZZ.200603.0001

摘要

給藥錯誤發生率在世界各國的醫療不良事件中皆高居首位，給藥錯誤將影響病人治療結果、造成傷害甚至死亡，但絕大數給藥錯誤是可預防的。根據美國病人安全組織報告，全美一百七十多家退伍軍人醫院(Veterans Affairs Medical Center)運用條碼系統自動化控制給藥流程以防止錯誤，結果顯示給藥錯誤的發生明顯降低。然而對於國內想要建構此系統的醫院，並無太多經驗法則可循。我們先驅性地開發這套系統運用於高危險性、高醫療費用的化學治療藥物給藥流程，以確認「對的藥」在「對的時間」給「對的病人」，並且藉由手持式電腦顯示資訊提醒護理人員正確用藥途徑和其他用藥訊息，甚至在執行給藥時能發揮偵測錯誤的功能，證明能有效預防人爲疏失進而提昇病人用藥安全。

關鍵字

給藥錯誤 ； 條碼技術 ； 病人安全

並列摘要

Most of those medication errors are preventable. According to the US National Patient Safety Foundation, Bar-code-enabled Point-of-care (BPOC) provides a promising way to automate aspects of medication administration; this technology has been drastically reduced medication errors in Veterans Affairs (VA) hospitals nationwide in the US. Yet, very little guidance is available now on how to prepare to implement BPOC technology in the hospitals.
We attempt to implement this system into our chemotherapy administration process since chemotherapy is a drug of high-risk and high-cost in cancer care. When a patient received chemotherapy, the nurse would scan the patient's wristband to confirm patient identity, and then each package of chemotherapy to be administered at the bedside. This system would help to verify that the right drug is being administered to the right patient at the right dose by the right route and at the right time. Within this context, we will share our experiences on what is required to apply this technology and how to implement a bar-coded drug administration system in a hospital.

並列關鍵字

medication error ； barcode technology ； patient safety