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降低急診常規給藥逾時率改善專案

Reducing the rate of medication administration delays in emergency departments

摘要


給藥逾時不只增加醫院成本支出且降低病人對醫院滿意度,亦可增加能避免的死亡率。本專案運用實地觀察及資管程式收集資料,發現護理人員給藥過程中干擾因素過多導致給藥逾時率高達21%,其中以護病溝通干擾比例最高,其次為工作車事前準備不足、處理病人靜脈點滴問題及醫護溝通等問題。藉由製作給藥作業流程圖、觀察室給藥前廣播、工作車物料補充及自備藥拿取提醒小卡及點滴衛教卡、電話留言紙盒後,有效降低給藥過程干擾而使給藥逾時率由21%下降至10.5%。本專案推行後有效降低給藥逾時率,提升照護品質,可平行推展至急症照護單位。

並列摘要


Medication administration delays in hospitals increase hospital expenses, raise mortality rates, and reduce patient satisfaction. Data was collected for this study through on-site observations and an information management program. It was found that nurses’ rate of medication administration delays is as high as 21% due to several interferences during the administration process. Of these interferences, nurse-patient communication is the major reason for delays. This is followed by poor preparation of operation vehicles, IV set problems and poor doctor-nurse communication. The interference of medication administration delay can be reduced from 21% to 10.5% by the following actions: 1. establishing a standard medication-dispensing protocol 2. broadcasting before medication administration 3. supplementing operation vehicle materials 4. preparing self-medication reminder cards 5.IV instruction cards and 6. telephone messages. Medication administration delays were effectively reduced by these measures, improving the quality of care. We suggest implementing these methods in other acute care units.

參考文獻


伍麗珠、王瑞霞 (2014)。護理人員給藥錯誤之歷程分析。 榮總護理,31 (1),62-71。doi:10.6142/VGHN.31.1.62[Wu, L. C., & Wang, R. H. (2014). A Study of Nurses’ Medication Administration Errors Process Analysis. VGH Nursing, 31 (1), 62-71]
張瓊芳、林美利、陳品樺(2012)。降低內科住院病人非計劃性周邊靜脈重注率。榮總護理,29 (1),40- 50。doi:10.6142/ VGHN.29.1.40 [Reducing the Re-injection Rate of Unplanned Peripheral Intravenous among Medical Inpatients. [Chang, C. F., Lin, M. L., & Chen, P. H. (2012). VGH Nursing, 29 (1), 40-50.]
陳雲絹、黃美智(2006)。靜脈輸液與護理之相關議題。護理雜誌,53 (3),69-72。doi: 10.6224/JN.53.3.69 [Chen,Y.C., & Huang, M. C.(2006). Peripheral I.V. Therapy and Nursing. The Journal of Nursing, 53 (3), 69-72.]
Freeman, R., McKee,S., Lee-Lehner, B.,& Pesenecker, J.(2013). Reducing interruptions to improve medication safety. Journal of Nursing Care Quality, 28 (2), 176-85. doi:10.1097/NCQ.0b013e318275ac3e.
Trbovich, P., Prakash, V., Stewart, J., Trip, K., & Savage, P. (2010). Interruptions during the delivery of high-risk medications. Journal of Nursing Administration, 40 (5), 211-8.doi: 10.1097/NNA.0b013e3181da4047.

被引用紀錄


林以茹、劉玟妡、陳雅甄、蔡美容、賴炘怡、林秀玟、朱若梅(2023)。降低兒童病房護理人員給藥中斷率彰化護理30(4),50-64。https://doi.org/10.6647/CN.202312_30(4).0007
李瑾婷(2022)。五年制大專護生對口服給藥之態度與行為相關因素之探討彰化護理29(3),44-57。https://doi.org/10.6647/CN.202209_29(3).0008
鄧佩如、陳雅芳、林怡君、鄭青青、林秋子(2023)。降低骨科病人合併抗生素治療靜脈滴注給藥逾時率長庚護理34(2),47-60。https://doi.org/10.6386/CGN.202306_34(2).0005

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