降低術後恢復病人過夜留滯率

因重症病人增加及加護中心床位不足，造成麻醉手術後病人當日無法轉出而留滯於恢復室。病人嚴重留滯恢復室會延遲常規手術進行，造成護理人力需求增加及影響院方營收。專案發現造成恢復室病患嚴重留滯原因有：一、無恢復室滯床處理原則因應嚴重滯床所導致之負面影響，二、麻醉狀況解除後，外科醫師仍要求病人留滯恢復室不可轉出，三、加護中心床位不足，無法適時收住術後需加護照顧之病人。執行改善措施如：建立恢復室滯床處理流程，避免延遲常規手術進行及人力不足問題；設置「恢復室病人留滯評估單」評估病人病情變化，作為轉出恢復室之依據；統計及提供滯床數據，作為醫院增設加護中心床位之依據。執行改善措施後，每日平均滯床率由28.6%降低為10%。

關鍵字

恢復室；過夜；留滯病患滯床率

並列摘要

This project aimed at overnight patients' stagnant bed rate in Postoperative Recovery Room (POR). Because of the critical illness of the patients and the beds in intensive care unit (ICU) being insufficient, the postanaesthesia surgery patients were unable to exit from the POR on the same day. The negative results of stagnant beds are postponing regular surgery and increasing the cost of nursing manpower. The main reasons of stagnant beds were: no regulatory police to deal with this problem, after postanesthesia observation, the surgeon presumed subjectively that patients needed to stay in POR, and no available beds in ICU for postoperation patients. The improvement measures were a s follows: (1) Establishing procedures to deal with stagnant beds to avoid delaying regular surgery and the problem of insufficient manpower, (2) Designing a ”POR stagnant evaluation sheet” to evaluate the changing of patients' condition as the basis of exiting POR, (3) Compiling stagnant bed statistics and providing data for the hospital as a basis for ICU beds. After carrying out these improvement measures, the stagnant bed rate was reduced to 10% from 28.6%.

並列關鍵字

postoperative recovery room ； overnight ； patients' stagnant bed rate

國際替代計量

降低術後恢復病人過夜留滯率

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