提升加護中心工作人員用電安全管理之改善專案

Improving Electricity Safety Management for Health Care Workers in an Intensive Care Unit

動機：加護中心環境特殊，儀器設備多，居住的病人全為病重大多仰賴呼吸器困難逃生者，一旦火災發生後果將不堪設想。問題：本加護中心於2014年8月於臥有病人的床下方插座上一條閒置未使用的延長線突然起火，所幸在短短不超過20秒的時間內搶救得宜而未釀成災害。由現況分析發現延長線缺乏使用規範及查核，從未舉辦過相關在職教育，工作人員對用電環境安全認知不足，因此導致使用時未注意周遭環境安全。目的：提升加護中心工作人員用電安全管理，以提升病人安全照護。解決辦法：成立專案小組，訂定用電安全管理辦法、舉辨相關在職教育、制定用電安全檢點表，落實稽核單位用電環境。結果：本單位護理人員用電安全由初期查檢的8.3％提升至97％，人員用電安全認知正確率由37.1％提升至95.2％，達到專案改善目的。結論：藉由此專案提升工作人員的用電安全認知，經由查檢防範用電意外發生，以確保給予病人住院醫療環境安全的維護。期望藉此降低醫療院所火災事件的發生，以維護病人的安全。

Motivation: Fire prevention is critical in an intensive care unit because it is a special environment with many instruments and pieces of equipment and numerous immobile patients in critical conditions who depend on breathing devices. Problems: In August 2014, an unused extension cord under a patient's bed in an intensive care unit accidentally caused a fire. Fortunately, the fire was extinguished within 20 seconds and did not cause a disaster. We investigated the current status of fire safety and discovered a lack of a standard procedure and audit system for extension cords, no relevant in-service education training, and insufficient awareness among staff members of the safety of the environment with respect to electricity. Purpose: To improve electricity safety management for health care workers in an intensive care unit to ensure patient safety. Solutions: The establishment of electricity safety management methods, the provision of relevant on-the-job education, the establishment of electricity safety checkpoints, and the implementation of auditing units concerning the electricity environment. Results: Electricity safety increased from 8.3% at the initial inspection to 97%, and electricity safety awareness was achieved among the staff. The correct response rate rose from 37.1% to 95.2%. Conclusion: Through this project, electricity safety and electricity safety awareness among personnel increased, creating a safe environment to ensure patient safety. This project can provide a reference for how to reduce the risk of fire incidents in a hospital intensive care unit.