線上病人安全通報系統建置成效

Establishment and Effectiveness of an On-Line Patient Safety Reporting System

目的：良好的內部通報系統為建立更完善病人安全體系的關鍵。本研究探討一線 上病人安全通報系統的建置成效。 材料與方法：本研究參考醫策會台灣病人安全通報系統（Taiwan Patient-Safety Reporting System, TPR）作業流程，採用J2EE平台，建置網路版「病人安全異常事件通 報系統」導入醫院，進行異常事件相關資訊的收集，並依TPR欄位定義，將通報案件 轉換成XML格式上傳至醫策會，旨在由通報中及早發現問題、發展具體可行的改善方 案，以杜絕異常事件的發生。本研究利用「病人安全通報系統使用問卷」比較使用者 對不同通報管道（紙本與網路）的看法與滿意程度。 結果：系統上線運作後，顯著提升使用者之滿意度。網路通報改善了紙本通報的 缺點。此通報系統所帶來之最大效益，依序為節省人工傳遞時間、機密性提升、可提 供整合性影音資訊，這些效益對提升通報意願有極大正向助益，並便於改善後追蹤之 紀錄整理。 結論：本系統的建置及導入，證明線上通報能有效促進通報時效、保密性與通報 品質。

Objectives: Establishment of an internal incident reporting system is critical to secure patient safety in the hospital. In this study we report the effectiveness in the establishment of an on-line patient safety reporting system. Materials and Methods: By using J2EE platform, we followed the Taiwan Patient-Safety Reporting System (TPR) standard operation procedure to establish an in-hospital patient safety reporting system. The system is designed to map the TPR database variables, to convert incidence reports into XML format, and to upload data to the Taiwan Joint Commission on Hospital Accreditation (TJCHA) automatically on a monthly basis. The in-hospital patient safety system aims to prevent incidence from recurrence by collecting and analyzing incidence information in advance. In this study we used a “Patient Safety Reporting System Survey” to compare users’ perception and satisfaction with different reporting channels (on-line system and paper form). Results: The on-line reporting system significantly enhances user satisfaction. The effectiveness is mostly remarkable in management efficiency, confidentiality, multi-media integration, and data analyses. We found the establishment of this on-line patient safety reporting system has successfully improved the willingness to report in our hospital. Conclusion: The establishment of an on-line patient safety reporting system proves to be effective to improve incidence reporting efficiency, confidentiality, and quality.