探討資訊科技輔助護理人員藥物辨識以提昇給藥安全之研究

Research on Medicine Identification Assisted by Information Technology to Improve Nurses Promote Medication Safety

給藥錯誤的發生率於醫療疏失中居首，因此，要減少醫療疏失的首要工 作即是降低給藥錯誤的發生。因此學者提出以資訊科技來協助醫療過程之進 行，透過資訊系統來提供醫道人員取得正確、完整、即時的資訊，以利其臨 床決策。而以提昇用藥安全之相關系統中，透過臨床用藥之辨識與藥理資訊 系統之建立，以支援醫護人員於實際給藥中藥物辨識之決策輔助，是降低道 理人員給藥錯誤中一項可行的解決方案。本研究即應用個案研究，探討某區 域醫院建置藥物辨識、藥品測驗系統之研究，個案醫院之系統發展分成參階 段：包括系統規劃、系統分析與設計及系統測試與評值。系統規劃'主要是 透過相關文獻之探討與使用者之需求訪談，以整理系統發展應具備之元素與 需注意之相關因素。系統分析與設計階段，是根據使用者需求及給藥作業流 程擬訂系統規格，並進行系統程式撰寫。系統測試與評值階段，是分析系統 開發的結果是否與系統分析一致，及是否符合使用者的需要。整體而言，輔 助藥物辨識系統之介面設計與使用滿意度結果均達4 分以上（5 分法） ，而藉由 藥物辨識系統在提昇給藥的安全、增加個人專業能力、提昇道理照謹品質與 達到藥物教學評值目標之結果均達4 分以上（5 分法）。藉由了解此系統的發展 對提昇用藥安全之成娃，可作為醫院建構用藥安全資訊系統參考。

The medication error occupies the highest incidence among all kinds of malpractices, so the primary task for reducing malpractices is to lower the incidence of medication error. However, the healthcare provider caring the patients based on their limited memories and experience. This behavior pattern may restrict their information processing abilities because of the limited memories of the healthcare provider, and may become more difficult and dangerous and even result in more mistakes when more and more information is needed to be the basis for decisionmaking. Therefore, some scholars suggested that the information technology be used to assist in medical treatments, and that the information system be used to provide the medical personnel with accurate, comprehensive and instant information for clinical decision-making. But the systems related to medicine-giving safety still lack an assertive system for the healthcare provider to identify medicines during the actual processes of medicine, and the e-learning is not widespread yet. Consequently, how to reduce the hidden troubles threatening patients' medication safety which result from the lack of man-made identification and in-service training depends on the establishment of medical knowledge database and the offering of clinical medicine identification and pharmacological information systems to assist the healthcare provider in making a decision for actual medicine identification. This research mainly discussed the medicine identification and on-line teaching evalu-ation system established by a regional hospital, finding out the achievements of this system promoting the medication safety as the references for hospitals establishing the informative system for medication safety.