應用RFID提升手術病人安全

手術的意外或錯誤時有所聞，輕者導致病人不安，重者則會造成極嚴重的傷害。本研究是從手術病人安全辨識流程中發現：一、人員因工作忙碌導致辨識程序不確實，造成手術病人安全辨識不正確件數共6件。二、手術病人採用人工辨識程序繁雜，每位病人約費時505秒／人。三、遇手術病人安全辨識異常錯誤時，電腦系統無資訊連結及警示訊息。在導入RFID於手術病人作業辨識流程後，運用RFID的科技工具與現有的電腦資訊系統結合，經由設立RFID相關硬體及程式導入，重新制定手術病人安全辨識標準作業流程、進行教育訓練及使用流程查檢表進行結果查核發現，手術病人安全辨識不正確件數爲0件，且能簡化手術室病人之辨識程序並降低查檢時間360秒達71%（由原本505秒／人降低爲145秒／人）。研究結果證明RFID的應用不但可提升病人安全之正確辨識率及安全的醫療處置程序，更能有效降低人爲疏失，達到提升手術病人安全。

關鍵字

無線射頻技術；病人安全

並列摘要

Accidents or mistakes during surgery are not rare, and can result in patient harm. From process of safely identifying patients undergoing operation, this study found that 1) Six patients were incorrectly identified due to heavy staff workloads. 2) In total, 505 seconds were needed for patient identification by staff. 3) Alarms or messages were unavailable in the computer system when patients were incorrectly identified. This study introduces Radio Frequency Identification (RFID) into the patient identification process, combines RFID with the current computer system, and establishes a new procedure for patient identification. After implementation, the number of misidentification of patients was reduced to zero measured by a simplified process- investigating flowchart. This system reduced time spent in patient identification by 71%, from 505 seconds to 145 seconds. Our experimental results suggest that the application of RFID increases the rate of correct patient identification and safe medical procedures, and decreases personal mistakes, thereby reaching the goal of assuring security for patients undergoing surgery.

並列關鍵字

Radio Frequency Identification RFID ； patient safety

參考文獻

王嵩竑(2007)。護理人員認知之RFID系統創新性對其使用該系統意圖之影響。醫護科技學刊。9(2)，89-102。

Joint Commission on Accreditation of Healthcare Organizations. (2007). Sentinel event statistics. Retrieved December 31, 2007, Acess from http://www.jointcommission.org