- 期刊
運用團隊資源管理概念改善核醫檢查病人報到臨床作業流程
Applying Team Resource Management Concept to Improve the Clinical Registration Operation Process
摘要
背景：2016 ~ 2017年度醫院醫療品質及病人安全工作的目標為提升醫療照護人員之間的有效溝通，而在臺灣病人安全通報系統2016年度報表也指出，異常事件發生可能原因與「溝通因素」相關之10,749件案例中，「醫護團隊間溝通不足」發生的件數為第二高。方法：本研究運用團隊資源管理（Team Resource Management, TRM）概念跨領域整合醫師、放射師、藥師與護理師，使用雲端運算的技術建構核子醫學科檢查警示雲，希望在報到作業流程上增設資訊作業系統輔助人工作業，改善作業中溝通疏失事件的發生。此雲服務架構共分為四朵系統雲與一朵資料雲：排程收集代理雲、病人排程查詢雲、病人報到資訊雲、病人報到警示雲、核醫資料雲。結果：雲服務提供跨平臺、無所不在、任何時間的警示服務，將檢查排程資料整合病人報到警示準則比對出遲到、早到、準時以紅／黃／綠燈分別警示，使得人員不須重複按對講機詢問病人狀況，不僅減少病人等候時間且提升醫療照護品質，另提供管理者臨床流暢儀表板服務，隨時掌控病人報到的比率與病人等待的心情，即時監控臨床作業狀況。結論：本研究依使用者回饋結果分析，人員測試使用雲服務協助落實正確的有效溝通，不會發生人員溝通疏失造成病人無法於表訂的時間進行造影檢查，且查詢雲服務平均只要1.5分鐘。由以上得知雲服務確實提升醫療照護人員之間的有效溝通且改善臨床作業流程，讓所有人員只要從檢查警示雲服務畫面即可知道病人動向，櫃臺人員與護理師不需要一直按對講機，確認放射師與藥師是否正確收到訊息。
並列摘要
Background: During the years from 2016 to 2017, the objective of the medical quality of the hospital and the safety of the patient was to increase the effective communication among the medical care personnel. According to 2016 annual statement for Taiwan patientsafety reporting system, among the 10,749 cases of incident events that the possible cause was relating to ＂communication factor＂, the occurrence of ＂lack of communication in between medical team＂ was the highest relative frequency ratio. Methods: This study used the concept of Team Resource Management (TRM) to integrate physicians, radiologists, pharmacists and nurses and used cloud computing technology to construct a Nuclear Medicine Examination Alert Cloud (NMEAC). We hope to add information system to help manual work and improve operations communication. The cloud service including four system clouds and one data cloud: Scheduling Collection Agent Cloud (SCAC), Patient Scheduling Search Cloud (PSSC), Patient Registration Information Cloud (PRIC), Patient Registration Alert Cloud (PRAC) and Nuclear Medicine Repository Cloud (NMRC). Results: The cloud service provided cross-platform alert service anywhere and anytime. It compared the nuclear medicine original scheduling data and patient registration alter criteria then indicated the results of lateness, early arrival and on time and presented them with red/yellow/ green alert light, respectively. As a result, personnel did not have to repeatedly ask the patient condition through the inter phone. This would not only decrease patient's waiting time but also increase the quality of medical care. In addition, the service provided managers with clinical smooth dashboard services, at any time, to follow up the patient registration rate and the mood of patients who were waiting and to instantly monitor the clinical operations.
被引用紀錄
延伸閱讀
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- 陳雅萍、李苑姿、蕭燕嬬、楊素琴、陸椿梅（2022）。運用跨領域團隊資源管理提升手術部位感染組合式照護執行完整率。高雄護理雜誌，39(2)，38-51。https://doi.org/10.6692/KJN.202208_39(2).0004
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- 黃淑香、范佩華、翁麗慧、梁為民、陳彥超（2016）。醫療團隊資源管理－流程確認單於放射腫瘤治療部門之應用。中華放射線技術學雜誌，40(3)，123-129。https://www.airitilibrary.com/Article/Detail?DocID=16849418-201609-201610280015-201610280015-123-129
- Li, S. C., & Kao, C. C. (2022). Outcomes of Team Resource Management for COVID-19 Prevention: An Example of a District Hospital. In 亞洲健康識能學會 (Ed.), The proceedings of the 8th ahla international conference: health literacy in social resilience (pp. 81-81). 亞洲健康識能學會. https://doi.org/10.30181/AHLA.202210.0052