恢復室接住院手術病人流程作業改善專案

A Project to Improve the Process of Pre-operative Patient's Procedure in Post Operation Room

黃瓊瑤(Chuing-Yao Huang) ； 張惠珍(Huei-Chen Chang) ； 邱月華(Yue-Wah Chiu) ； 陳清芬(Ching-Fen Chen) ； 郭俐伶(Li-Lin Kuo) ； 張德馨(Te-Hsin Chang)

《馬偕護理雜誌》 7卷2期 (2013/07) Pp. 25-36

https://doi.org/10.29415/JMKN.201307_7(2).0003

摘要

本專案旨在落實病人安全辨識，提升醫療服務品質。針對某醫學中心恢復室，以觀察法與問卷調查法稽核接住院手術病人流程，確認主要問題為恢復室值班人員字跡難辨認、服務員聽錯、接住院病人只用一種辨識方法及接住院病人流程未完整。經實施電腦列印住院病人資料登記卡、列印每日住院手術病人名單、制定服務員接住院手術病人的標準辨識方法、接住院手術病人標準及流程、增加無線對講機使用等解決方案後，接住院手術病人流程作業完整率由85%增加為99.5%；值班護理人員每日花費登記卡時間由34.6分鐘降為7.2分鐘；服務員完成接病人流程由每人次24.6分鐘降為13.2分鐘。經由電腦資訊介入、流程作業簡化及標準化，提供了安全、有效率的護理服務。

關鍵字

病人安全 ； 服務品質 ； 電腦資訊

並列摘要

The project aims to implement the patient identification for safety and to improve the quality of health care. By using methods of observation and questionnaire to audit the inpatients reception procedure in the post operation room of a medical center, we identified major issues, which included handwriting of in-charge staff is difficult to recognize, the attendants heard things wrong, only one patient identification method was used, and inpatient transferring processes is not followed. By ways of implementing computer print of patient registration card, the list of daily surgical inpatients, the standardized patient identification method and the surgical inpatients receiving standard and procedures for attendants, increased use of wireless intercom solution, the completion rate of the inpatient reception of surgical procedures increased from 85% to 99.5%; the time for nurse on duty spending daily on registration card reduced from 34.6 minutes to 7.2 minutes; attendants to complete the process of receiving the patient reduced from 24.6 minutes to 13.2 minutes. The use of computer information, process simplification and standardization did provide a safe and efficient care.

並列關鍵字

patient safety ； quality of service ； computer information