降低外傷科病房病人轉送前準備作業異常率之專案

Improvement Project on Transferring Patients of Trauma Surgery

專案旨在提升外傷科病房護理人員轉送作業完整性，經調查某醫學中心之外傷科護理人員執行轉送作業完整性僅78.5％，護理人員轉送作業認知僅75.5％。分析原因為：1.缺乏轉送標準作業流程。2.缺乏轉送作業相關在職教育課程。3.未定時稽核轉送交接作業。經專案小組介入改善措施為：1.制定外傷科病人轉送標準化流程。2.製作資訊化外傷科常見檢查須知。3.製作床頭提示叮嚀小卡。4.製作資訊化轉送作業系統操作步驟。5.規劃轉送作業教育訓練，結果顯示轉送作業完整性提昇至96.2％，護理人員轉送作業認知提昇至100％，專案小組透過專案執行，提升病人轉送安全完整性，也強化相關醫療人員對病人轉送安全之認知，達到本專案之目的，為進行此專案之最大收穫，著實提升轉送交接的正確性，確保病人轉送時之安全，進而降低醫療抱怨及糾紛事件之發生，以維持良好的照護品質。

According to the data in medical center, the completeness of transferring patients by nursing staff in trauma surgery was only 78.5% and the accurate knowledge about transferring patients was 75.5%. There are some reasons of transferring patients. Firstly, there are lack of the standard operation procedure and on-the-job training. In addition, there are irregular checks in handover to the next shift. In order to enhance the completeness and healthcare quality of transferring patients, the author will discuss the improvement project of transferring patients. The purpose of improvement project is to avoid medical risk and malpractice cases, reduce risk of transferring patients and obtain high quality medical service. After the implementation of this project, the completeness rate of transferring increased to 96.2%. Furthermore, the accurate knowledge about transferring patients increased to 100%. To sum up, the outcomes of this improvement project increased the completeness, correctness and safety of transferring patients, reduced medical risk and malpractice cases, and strengthened the accurate knowledge about transferring patients of medical staff. Those demonstrated a great improvement and reached the project goal.