縮短精神科病房辦理出院手續時間方案

The to Shorten Time of Discharge Procedure in Psychiatric Ward

黃美意 ； 吳若蘭 ； 王掌珠

《台灣健康照顧研究學刊》 2期 (2007/01) Pp. 19+21-29

https://doi.org/10.29750/TJTHCA.200701.0001

摘要

本專案旨在縮短精神科某病房辦理出院手續時間。由於家屬常抱怨等候時間太久，分析後歸納其原因為：護理人員對出院流程不熟悉、退藥時核算藥物數量花費時間長、出院帶藥需重新標示、藥局作業時間長及醫師未能立即前來病房執行出院作業等。故擬定解決策略，包括加強護理人員對出院流程的熟悉度、改變核算退藥的方法、與藥局溝通改變出院藥物標示方式，縮短藥局處理退藥時間、與醫師溝通協調改變作業方式等。專案實施二個月後，平均辦理出院手續所花費時間由原先1小時58分，縮短為49分，家屬滿意度亦由2分提昇至5分，明顯改善服務品質。

關鍵字

出院手續 ； 等候時間 ； 滿意度

並列摘要

The purpose of this project was to shorten time of discharge procedure in psychiatric ward. In clinical setting, families usually complain waiting for a long time during discharge procedure. The reasons included that nurses were not familiar with discharge procedure; the way of computing the return drugs took long time; drugs for discharge needed re-marked; the procedure of department oh pharmacy took long time and doctors could not complete discharge order immediately. The project team was therefore established and conducted strategies including enhancing nurses' familiarity toward discharge procedure; changing the method of computing the return drugs; communicating with department of pharmacy for way of marking drugs; shortening the time of dealing with return drugs and communicating and negotiating with doctors for discharge process. Two months after this project was put into practice, the average time of discharge procedure shortened from 118 minutes to 49 minutes and the satisfaction of family raised from 2 to 5. These results indicated that the project improved apparently quality of service.

並列關鍵字

discharge procedure ； waiting time ； Satisfaction