運用螢光標示法提升血液腫瘤病房環境清潔成效

Using Fluorescent Markers to Enhance the Cleanliness of the Environment in a Hematology-Oncology Ward

周幸儀(Hsing-Yi Chou) ； 謝秀祝(Shiouh-Chu Shieh) ； 盧婉菁(Wan-Jing Lu) ； 孫孟婕(Meng-Jie Sun) ； 吳尚儒(Shang-Ju Wu)

《台灣醫學》 24卷6期 (2020/11) Pp. 617-626

https://doi.org/10.6320/FJM.202011_24(6).0002

摘要

血液腫瘤科病人因化療或骨髓移植後免疫抑制，屬潛在感染高風險，有鑑於單位住院病人對於醫院清潔滿意度平均僅達77.5％，低於全院平均值89％，期望藉由專案提升病房清潔成效，維護住院環境安全。分析導因為：（1）清潔標準作業程序及環境清潔執行未落實；（2）工作量大，缺之機動人力調整機制；（3）缺乏環境清潔客觀查核工具及即時查核回饋機制；（4）缺乏教育訓練。經宣導減少病室儀器及線路收納整齊；汰換及新增清潔用具；善用跨領域團隊合作，調動機動人員；運用螢光標示法定期查核並即時回饋；運用數位學習課程加強教育訓練，整體環境清潔成效可提升，滿意度達88.0％，終期清潔合格率由77.8％提升至97.9％，標準作業程序執行正確率由78.6％提升至97.1％，達目標值。

關鍵字

血液腫瘤 ； 螢光標示法 ； 環境清潔

並列摘要

Patients at the hematology-oncology ward (HOW) are at high risks of infection because of their compromised immunity resulting from chemotherapy or stem cell transplantation. In terms of hospital cleanliness, the satisfaction rate of the HOW was 77.5%, lower than the average (89%) of all inpatient wards at the hospital. This project aimed at improving the effectiveness of ward cleaning for inpatient safety. The poor performance could be attributed to four causes: (1)failure of implementing standard operating procedures for environmental cleanliness; (2) inadequate manpower resource under large workloads; (3) a lack of objective tools for assessing environmental cleanliness with immediate feedback; (4) suboptimal staffs training. Strategies of improvement included reducing equipment in the ward and tucking away all the cables and cords; updating and replacing cleaning appliances; establishing a multidisciplinary team to support care needs dynamically, utilizing fluorescent markers to regularly monitor cleaning effectiveness and provide immediate feedback ; and offering e-learning courses relevant to environment cleaning. With these strategies, the overall effectiveness of environmental cleaning improved, with a satisfaction rate of 88.0%, the final cleaning pass rate rose from 77.8% to 97.9%, and the standard operating procedure execution accuracy rate rose from 78.6% to 97.1%, they all reached the target values.

並列關鍵字

hematology-oncology ； fluorescent markers ； environment clean

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