提升中醫針灸入出針數正確方案

The project of decreasing the missing needle during acupuncture treatment

李秋珊(Chiu-Shan Lee) ； 蔡玉玲(Yu-Ling Tsai) ； 張艾玲(Ai-Ling Chang)

《中西醫結合護理雜誌》 4期 (2020/11) Pp. 73-83

https://doi.org/10.6211/TTCMNA.202011_(4).0007

摘要

醫策會以『病人安全』為目標積極推動醫療品質的提升，中醫雖非醫療主流，但針灸治療過程中如發生遺漏出針事件，不僅使病人承受醫療傷害的風險，也對針灸照護品質及病人安全造成重大威脅。本專案以病人安全為中心的照護理念，藉由現況分析發現醫護人員因缺乏共同核對針數之機制、護理人員出針時未確實核對針數導致入出針數不符合情況，經重新修正針灸標準作業流程、增設計針白板、設計醫護雙重覆核針數流程等改善措施，遺漏出針發生率由改善前0.18%降至0.01%，確實達成專案目的。期望透過本專案之經驗能有效且持續的提昇醫護溝通，達到促進病人安全及增進照護品質的目標。

關鍵字

出入針不符 ； 病人安全 ； 遺漏出針

並列摘要

The issue of patient safety has been noticed by people. And then acupuncture is the most invasive treatment that used by Chinese medicine doctor. Therefore, it is important to provide a safer environment. The missing needle during the acupuncture treatment not only makes the patient bear the risk of medical injury, but also becomes a major treat to maintain the quality of acupuncture care and patient safety. This project takes the patient safety as the center of care concept, and analyzes the reasons for missing needles through the current situation. We found two reason. First, lack of common-check mechanism by the doctor and nurse. Second, the numbers of the needle are unconfirmed by the nurse so that it is inconsistent. After revising the standard operating procedures for acupuncture, including increasing the white board for recording the number of needles, and designing the double-checking procedure, the incidence of missing needles was reduced from 0.18% to 0.01%. It is expected that the experience through this project will be effective and sustainable to prevent the occurrence of missing needles and to ensure the safety of patients. We also hope this improvement can achieve the purpose of acupuncture to cure disease or improve the condition. Finally, hope this project can also be a reference for peer to improve.

並列關鍵字

Discrepancy of the number of fine needles between insertion and removal ； patient safety ； missing needle