提升門診護理人員操作電腦計價正確率

Improvement of Medical Bill Charges through the Accurate Use of a Computer Charging System

張純純(Chun-Chun Chang)

《領導護理》 14卷3期 (2013/09) Pp. 94-104

https://doi.org/10.29494/LN.201309_14(3).0009

摘要

醫療體系順應時勢推動各項資訊化措施，期能簡化作業流程，藉以提高醫療品質、病人滿意度，並降低醫療人員的負擔。本單位因護理人員操作電腦計價不完整，造成門診衛材盤虧率為17%；護理人員需花費時間緊急借用衛材，造成醫師看診中斷，且病人等候時間久，引起病人及家屬抱怨，引發專案小組成立的動機。專案初期之限制，因同仁對於電腦計價操作步驟及內容不熟悉，需利用下診休息時間參與。為提升門診護理人員操作電腦計價正確率，藉由舉辦教育訓練、製作操作電腦計價自學影帶、製作衛材批價碼套餐範本、訂定衛材批價碼套餐護理作業資訊化及建立查核制度等改善方案後，門診護理人員操作電腦計價正確率由65.3%提昇至92.0% 。顯示本專案達到預期目標。建議未來能將門診資訊化之經驗，平行推廣至病房，提高護理效益，減少醫院成本負擔。

關鍵字

門診護理人員 ； 操作電腦 ； 計價

並列摘要

Electronic information systems have been well-applied to various measures in healthcare systems to simplify operational workflow; promote quality of care, service, and patient satisfaction; and lower the workload of workforce in healthcare. A study demonstrated that, in the outpatient unit, nurses inaccurately operated the computer charging systems for medical bills, and the inventory loss of medical supplies was as high as 17%. Nurses spent more time borrowing supplies from other departments, which interrupted physicians' seeing patients. A longer waiting time for patients to see doctors caused service complaints. The promotion strategies included educating nurses, producing a self-study video using the computer charging system for medical bills, using coding mode for price charging, designing an operation package with pricing code for reference, and establishing a monitoring system. With these promotional measures, the rate of outpatient nurses accurately operating the computer charging system improved from 65.3% to 92.0%, and the goal of this project was achieved. The author suggests that this project be expanded to other inpatient units to maintain care effectiveness and reduce the hospital's capital costs.

並列關鍵字

outpatient nurses ； operate a computer ； denominated