提昇內科病房交班內容完整性之專案

An Improvement Project for Nurse Reports during Shift Changes in a Medical Unit

交班不完整導致的異常事件，不但危及病人安全，影響護理工作情緒，亦使醫療團隊對單位照護能力質疑，故本專案旨在提升內科病房交班內容完整性，確保病人安全與護理品質。藉由制訂交班規範、舉辦專業知能研討會、建構線上自學系統、將交班列入護理教育課程、建立稽核制度等改善方案後，交班內容完整性由63％提昇至91％。此專案推廣至同性質的內科病房亦獲認同，也無形中助長醫護團隊的互動關係，顯示本專案確實達成預期目標。

The incidents relate to incomplete and inaccurate nursing reports during shift changes not only impact patient safety, but also affect nurses' morale with the medical teams' perception toward nursing competency. The aim of this project is to improve completion and accuracy of nursing reports exchange during shift changes for patient safety and quality of care. The strategies adopted were establishing the guidelines for nursing reports during shift changes, holding professional seminars, developing an online self-learning program, including nursing reports exchange as a of the education curriculum, and forming a monitoring system. With the implementation of this project, the rate of completion and accuracy nursing reports during shift changes were improved from 63% to 91%. This project expanded into other medical units also having good results and promoted the relationship among the entire health care team. The aim of this project was achieved.