- 期刊
手術室醫護人員對使用“病人安全辨識查檢表”之態度調查
Operation Room Staff Attitude Survey on the Use of Patient Identification Check List
摘要
為杜絕醫療誤失及加強病人安全，某醫學中心採用「手術病人安全辨識查檢表」來加強病人身份、手術部位與程序的確認。本研究目的主要希望籍由自行設計之滿意度（態度）問卷，以了解相關工作人員（包括手術醫師、手術室護理人員等）對於使用「手術病人安全辨識查檢表」的態度、使用的方便性、滿意度及對其重要性的認同程度。結果顯示，骨科對於查檢表之複雜度比較能接受(P=0.029)，也認為病人滿意度有所提昇(P=0.003)；護理人員在評估病人滿意度方面會比醫師低分(P=0.014)；醫院主管認為查檢表設計得當(P=0.039)、複雜性不高(P=0.000)、且未增加工作負擔(P=0.014)，但現場員工對查檢表的評值皆比主管低。整體來說，各項目評值仍介於平均值間，只有工作負擔與複雜度方面分數較低，未來仍需持續改善查檢表，發展一套合適的查檢流程，減少反覆查驗病人，降低員工工作負擔，進而提昇病人滿意度。
並列摘要
The objective of this study is to investigate the operation room staff's attitude towards the use of patient identification checklist. We found orthopedic physicians have stronger positive attitude towards the convenience (0.029), complexity of checklist than do physicians from other specialties. Nurses tended to rate negative patient satisfaction more often than did doctors (p=0.014). Hospital executives thought checklist is convenient (p=0.039); not complicated (p＜0.001), will not increase work loading (p=0.014); which were significantly discrepant from what field employees thought. Except for checklist complexity and work loading increase; we found operation room staffs generally agreed that the use of checklist would improve patients' safety by correct identity verification. The attitude survey provides us valuable information to re-engineer patient identification process in the future. We believe we can further decrease the complexity of checklist and will greatly enhance patients' satisfaction.