降低精神科急性病房病人逃跑發生率

A Project for Reducing the Patient's Escape Rate from the Psychiatric Inpatient Ward

陳昱芬(Yu-Fen Chen) ； 李懷芬(Hwai-Fen Lii) ； 陳靜芳(Ching-Fane Chen) ； 孟繁莉(Fan-Li Meng)

《精神衛生護理雜誌》 11卷2期 (2016/12) Pp. 19-27

https://doi.org/10.6847/TJPMHN.201612_11(2).0003

摘要

本病房2010年7月1日至2011年6月30日病人發生逃跑病安事件，逃跑病安事件帶給病人、家屬及醫護人員極大身心壓力，故引發本專案期能降低精神科急性病房病人逃跑發生率。現況分析發現逃跑發生主因為：警覺性不足、轉送人力不足、未正確辨識身分。改善措施為：開門前須先淨空「大門前安全淨空區域」、訪客蓋手章、領大門鑰匙者須通過「開關門防範逃跑措施」測試且每半年複核一次、舉辦防範逃跑在職教育等措施，持續追蹤至2013年12月，有效降低病人逃跑發生率由0.71%至0.10%，達專案目標，建立明確執行防範逃跑依據，提升醫療照護安全性，期藉此改善經驗能平行推展至其他分院，亦可供他院參考。

關鍵字

精神科急性病房 ； 淨空區域

並列摘要

This project aims to review the patient escape events that occurred in the psychiatric inpatient ward of our hospital from 2010 to 2011 based on the patient's safety reporting data and medical records. We analyzed the three main causes leading to the patient's escape: 1) insufficient alertness and manpower during the referral process; 2) the staff's failure to ensure that no patients were there were no patientsin the clearance zone in front of the gate to the ward before opening the gate; and 3) the staff's failure to confirm the identity of people leaving the ward. Thus, a number of improving measures were carried out, including: 1) marking the range of the clearance zone in front of the gate to the ward and requesting staff to ensure that no patients were there before the gate was opened; 2) the staff could not hold the keys of the gate until they passed the test on preventive measures for the patient's escape; and 3) any patient and his/her family entering the ward needed to stamped on one of his/her hand. After the implementation of these measures, the patient escape rate decreased from 0.71% to 0.10%. It was hoped that the research results could be could provide the medical and nursing staff with references.

並列關鍵字

psychiatric inpatient ward ； escape clearance zone

參考文獻

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