靜脈灌注與輸出入護理資訊系統

Barcoding Input and Output Tracking System for the Administration of Nursing Intravenous Infusion System

陳碧蓮(Bi-Lian Chen)

《醫療品質雜誌》 14卷2期 (2020/03) Pp. 42-46

https://doi.org/10.3966/199457952020031402008

摘要

「靜脈灌注與輸出入資訊化」作業是繼「條碼辨識給藥安全」另一項護理資訊作業重要工程。主要是該項作業之規則、複雜度遠高於以往，介接系統牽涉醫、藥、補給等作業。本系統特色為導入條碼辨識輸液系統，以建置護理靜脈灌注資訊作業，並跨系統連結電腦醫令系統與護理資訊系統之輸入、出量，補給、藥劑系統，為本研發創新重點。自2017年12月至2018年6月實施期間，共有17,567筆靜脈灌注資料，其中十件為「非此病人點滴」，系統早期監測人員準備輸液之種類錯誤，阻止人員掛錯點滴。在再造輸液簡化工作流程中，有效地降低護理人員執行輸液的錯誤率，藉由系統輔助管理，提升病人輸液安全。

關鍵字

靜脈灌注 ； 護理資訊系統 ； 條碼辨識系統 ； 輸入出量 ； 庫存系統

並列摘要

Based on barcode technology for the administration of medication, the system for tracking intravenous infusions and inputs as well as the output of nursing information was designed. To respond to the increased complexity and number of rules in the administration of medicine, the system tracks the relevant patient's treatments, Nursing Intravenous Infusion System, medications, and inventory. This innovative study focused on using bar code identification technology to connect inputs from the physicians' computer ordering system, outputs from the nursing Intravenous Infusion system, and the pharmaceutical system. Data were collected from December 1, 2017 to June 30, 2018; 17,567 data points on intravenous infusion were obtained. According to the results, 10 events were not related to a patient's intravenous infusion. To prevent medication errors, an early detection system warns clinicians if they administer the wrong fluid. The simplified and automated nursing system for intravenous infusion reduced the error rate and improved safety during intravenous infusions.

並列關鍵字

Intravenous infusion ； Nursing informatics system ； Barcoding system ； Input and output ； Inventory system