提升手術室接住院手術病人作業流程之正確性

Promoting the Completeness of Preparation Prior to Transporting Patients to Operation Theater

本專案旨在提升手術室接住院手術病人作業流程之正確性，經現況分析發現：手術室接住院手術病人作業流程正確率為80.3％；手術室人員接住院手術病人作業準備耗費8.56分鐘，故成立專案小組針對手術室作業缺失、不完整問題，擬定2個解決方案：(1)制定接送作業標準化流程及單張。(2)運用電腦化，傳達接送訊息。方案執行後手術室接住院手術病人作業流程正確率由80.3％提升至97.7％、手術室人員接住院手術病人作業準備耗費由8.56分鐘減至4.26分鐘、及手術室接送零異常。顯示此專案措施的可行性和有效性，手術室及恢復室人員因作業流程的標準化及簡化，而有了可遵從之依據，不再因聽錯或忘了登記病人資料的問題困擾，且能提升護理服務品質及病人安全。

This proposal is designed to increase the completeness of preparation needed prior to transporting patients to the operation theater. Previous data showed that the percentage of patients fully prepared to be transported to the operation theater was only 80.3%, with an additional delay of 8.56 minutes on average to correct and finalize patients’ information. This incompleteness can be corrected through two means: 1) the constitution of a standard operation flowchart for transporting patients to and from the operating theater and 2) the use of computerized systems to deliver information and additional messages. Following these methods, the frequency of complete preparation increased from 80.3% to 97.7%, and the average delay decreased from 8.56 minutes to 4.26 minutes. Our results proved the proposed methods effective in increasing the completeness of preparation for transporting patients to the operation theater. The use of standardized operation flowchart and computerized systems not only decreased the operation theater staffs’chance of making errors or forgetting information, but at the same time increased the quality of nursing care as well as patients’ safety.