提升兒科病房癲癇病童腦波影像儲存之完整率

Improving the Storage Integrity of Electroencephalography (EEG) Recordings in the Pediatric Ward

背景：本文旨在提升兒科病房癲癇病童腦波影像儲存之完整率，調查2016年1月1日至2016年3月10日共20位執行腦波影像檢查的病童，臨床發現15位（75%）個案影像儲存不完整，完整率僅25%，以致醫師無法判讀腦波影像，影響治療時機，故引發本專案改善之動機。目的：提升癲癇病童腦波影像儲存之完整率達100%。解決方案：經文獻查證及團隊討論後，設立改善措施，包含加強宣導、制定標準化流程、暖暖熊告示牌及簡易卡通家屬衛教卡、舉辦在職教育等各項措施介入。結果：專案措施介入後，癲癇病童腦波影像儲存完整率提升至100%，明顯達專案目標。結論：期望藉此分享提升癲癇病童腦波影像儲存之完整率，使癲癇病童家屬於檢查過程中能感受到護理人員用心關懷之意，並降低醫療成本。 Background & Problems: A total of 20 cases of children with epilepsy implemented electroencephalography (EEG) recording examinations in our ward between January 1st and March 10th, 2016. Fifteen (75%) of the recordings were incompletely stored, indicating that the EEG recordings storage integrity in our unit was 25%. Incomplete storage of these recordings results in prolonged hospital stays and negatively affects the ability of doctors to provide accurate diagnoses. Purpose: This project was developed to increase the EEG recording storage integrity for epileptic children to 100%. Resolutions: Improvement plans included reinforcing related promotions, formulating a standard flowchart for EEG recording education, making ＂warm bear signs＂, designing simple cartoon health-education flashcards, and providing in-service education. Results: The EEG recording storage integrity for epileptic children in our ward rose to 100% after implementation of the resolution measures, which achieved our purpose. Conclusions: We want to share this experience to improve the storage integrity of EEG recordings at other hospitals and clinics. The greatest benefit of this project was that the family members of children with epilepsy perceived more strongly the effort and care of the nursing staffs during examinations, which reduces the costs of healthcare.

Background & Problems: A total of 20 cases of children with epilepsy implemented electroencephalography (EEG) recording examinations in our ward between January 1st and March 10th, 2016. Fifteen (75%) of the recordings were incompletely stored, indicating that the EEG recordings storage integrity in our unit was 25%. Incomplete storage of these recordings results in prolonged hospital stays and negatively affects the ability of doctors to provide accurate diagnoses. Purpose: This project was developed to increase the EEG recording storage integrity for epileptic children to 100%. Resolutions: Improvement plans included reinforcing related promotions, formulating a standard flowchart for EEG recording education, making ＂warm bear signs＂, designing simple cartoon health-education flashcards, and providing in-service education. Results: The EEG recording storage integrity for epileptic children in our ward rose to 100% after implementation of the resolution measures, which achieved our purpose. Conclusions: We want to share this experience to improve the storage integrity of EEG recordings at other hospitals and clinics. The greatest benefit of this project was that the family members of children with epilepsy perceived more strongly the effort and care of the nursing staffs during examinations, which reduces the costs of healthcare.