急診病人臨床照護指引之簡介

Introduction of Clinical Practice Guidelines for Emergency Patients

急診部門的特殊工作性質與醫療環境，導致醫療錯誤發生的風險比其他醫療單位高。研究證實若急診建立完整的臨床照顧指引能具體的降低醫療成本，並提升病人的安全性及滿意度，且對急診護理專業會帶來積極及正面的影響。本文參考美國急診護理學會的建議，考量文章內容之限制，僅針對目前國內急診常見但較少被有系統探討的四種照護處置進行介紹，包括非侵入性體溫測量、短暫麻醉期二氧化碳濃度偵測、姿勢差異與生命徵象監測、周邊靜脈導管困難留置技術等進行文獻的彙整，並介紹美國急診護理學會對這些作法之實證等級與臨床運用之建議，以利國內急診醫護團隊，未來能發展屬於國內本土性的急診臨床照護指引，降低醫療疏失的發生率並提升照護品質與病人滿意度。 A hospital emergency department is unique among medical environments, with risks of medical errors often higher than in other medical units. Previous studies have confirmed that establishing comprehensive clinical practice guidelines in the emergency department reduces medical costs and improves patient safety and satisfaction. Furthermore, having these guidelines positively influences and significantly impacts the work of emergency care professionals. This article addresses the current assessment and treatment of common emergency care, including non-invasive temperature measurements, oxygenated monitoring during procedural sedation and analgesia, postural differences and vital signs monitoring, and difficulties in peripheral vein placement. Further, this article introduces the recommendations of the Emergency Nurses Association on the empirical level and in terms of the clinical application of these practices in order to help emergency staffs develop domestic and local emergency clinical care guidelines in order to reduce the incidence of medical malpractice and improve care quality and patient satisfaction.

A hospital emergency department is unique among medical environments, with risks of medical errors often higher than in other medical units. Previous studies have confirmed that establishing comprehensive clinical practice guidelines in the emergency department reduces medical costs and improves patient safety and satisfaction. Furthermore, having these guidelines positively influences and significantly impacts the work of emergency care professionals. This article addresses the current assessment and treatment of common emergency care, including non-invasive temperature measurements, oxygenated monitoring during procedural sedation and analgesia, postural differences and vital signs monitoring, and difficulties in peripheral vein placement. Further, this article introduces the recommendations of the Emergency Nurses Association on the empirical level and in terms of the clinical application of these practices in order to help emergency staffs develop domestic and local emergency clinical care guidelines in order to reduce the incidence of medical malpractice and improve care quality and patient satisfaction.