某醫學中心住院病童給藥作業之改善

Improvement of Inpatient Child Medication Adrninistration

北城給藥錯誤，引發不少國人、護理界、醫院管理者對病患給藥的重視。為了減少給藥錯誤，本專案乃針對住院病童給藥作業之問題深入探究，以兒科病房護理人員為對象，採立意取樣，自擬結構式問卷為調查工具，由觀察員實地觀察及訪談進行評估，所得有效個案為38位，其缺失原因，透過教育與監控策略，結果護理人員對給藥知識正確率從66.3%提升為92.5%，而給藥行為正確性由73.2%提升到99.1%，經配對t檢定，護理人員給藥行為前、後測有達統計上顯著差異（p<0.05），故印證教育與監控對提昇護理人員給藥正確性確有其效益。For nurse, drug administration is a high risk nursing practice. If wrong medication is given, it may cause medical, legal problem, and increase medical cost. Therefore in order to accurate drug administration, nursing knowledge and ability improvement is the best way to accomplish it. The purpose of this study is to evaluate the problems associated with inpatient child’s medication administration. Using pediatric ward working nurse as convenience subjects, self-design questionnaire is administered in the means of interview and ground observation by the investigators. A 38 subjects are recruited, then the continuous education and audits to prevent any mistakes from drug administration. After 6 months of follow-up, nursing staffs increase their knowledge of medications from 66.3% to 92.5%, and accuracy of drug administration increase from 73.2% to 99.1%. Using pair t-test and Pearson correlation, the results show the knowledge and behavior of medications are both reach statistical significance (p<0.05). In conclusion, the application of continuous quality improvement concept benefit to increase the nursing staffs accuracy of drug administration.