台灣與美國院內感染管制醫院評鑑介紹

The Introduction of Infection Control Standards of Hospital Accreditation in Taiwan and USA

楊美紅(Meei-Horng Yang) ； 張玲華(Ling-Hua Chang) ； 彭銘業(Ming-Yeh Peng) ； 鄒梅春(Mei-Chun Tsou) ； 張峰義(Feng-Yee Chang)

《源遠護理》 1卷3期 (2007/11) Pp. 48-55

https://doi.org/10.6530/YYN.2007.1(3).05

摘要

2003年嚴重急性呼吸道症候群(Severe Acute Respiratory Syndrome, SARS)對世界各醫院感染控制產生衝擊，而有了醫療及公共衛生相關之改造方案，以醫院來看最直接影響的就是評鑑制度及健保制度之改革。本文介紹台美之關於感染控制醫院評鑑之條文，及台灣感控評鑑三次重要改革與注意事項並作比較。台美感控評鑑各有其特色，如台灣感控評鑑強調傳染病通報及抗生素使用管制。美國感控評鑑分為門診、行為健康照護、居家照顧、醫院、實驗室及長期照護機構，並強調擔任醫院志工工作時可能接觸到感染疾病，必須有評估、檢驗、免疫、及／或預防投藥／治療、諮商之轉介機制。藉由本文的討論提供感控從業人員之參考，以達到醫院評鑑之標準。

關鍵字

嚴重急性呼吸道症候群 ； 感染控制 ； 醫院評鑑

並列摘要

The outbreak of Severe Acute Respiratory Syndrome (SARS) in 2003 had major impact on the policy and procedure changes in both hospital and public healthcare systems. The change of standards in hospital accreditation and for health insurance affected hospitals directly. This article compares the current hospital accreditation infection control standards of the United States and Taiwan. The policies in Taiwan focus on the proper use of antibiotics and the reporting of communicable diseases. The infection control standards of the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) in the United States include ambulatory, behavioral health, home health, hospital, laboratory and long term care facilities. JCAHO also emphasizes the need to include volunteers in the infection control policy.

並列關鍵字

Severe Acute Respiratory Syndrome SARS ； infection control ； Joint Commission on Hospital Accreditation