病人安全與品質提升：從管理架構到專案改善

Enhancing Patient Safety and Quality through Management Framework and Project Improvement

病人安全的概念是現今醫事機構管理之主流議題，許多醫事機構陸續建置專責單位，應用風險管理概念進行醫療流程優化，期望能夠降低醫療過程中可避免的醫療疏失，形塑病人安全文化。本文主要目的在於分享臺大醫院推動病人安全與品質提升的經驗，臺大醫院推動病人安全與品質提升的策略分為（1）管理架構：建立全院性的病人安全與品質管理架構；（2）運用專案改善的推行模式。本文透過抗凝劑用藥安全提升之專案為例，介紹兩個策略之間應用於改善病人安全的過程。

Patient safety has been considered as a major issue of health care management in recent decades. For the purposes of reducing preventable medical errors and shaping safety culture, a number of health care facilities established the authority. In the meanwhile, the concepts of risk management were adopted in order to achieve medical process improvements. The aim of this article is to share the experience of promoting patient safety and quality improvement in National Taiwan University Hospital (NTUH). Two strategies of promoting patient safety and quality improvement, which included setting up management structures and carrying out improvement projects, were employed by NTUH. In this article, we also take Warfarin Safety Project as an example so as to introduce the operation of these two strategies.