提升護理人員執行新生兒篩檢之正確率

A Project to Improve the Accuracy of Nursing Staff Performing Newborn Screening

本單位於2016年期間共執行新生兒篩檢905次，執行過程常發現人員會摩擦到篩檢片、將篩檢片直立陰乾，甚至置於新生兒輻射加溫臺下烘乾等不良情形，故萌生改善動機。進行原因分析結果有：未依照標準作業執行、不知道其重要性及影響、認知不足、教育訓練規劃不完善、標準作業規範內容有誤、宣導方式不周全及電腦資訊作業輸入項目名稱錯誤等。經增修標準作業規範、電腦資訊作業、製作宣導即時更新、設計新生兒篩檢口訣及打油詩、重新規劃教育訓練等改善對策實施後，護理人員執行新生兒篩檢正確率由78.2％提升至96.5％；認知正確率由平均62.6％提升至97.4％，有效達到專案目的，確保新生兒篩檢品質，鞏固防線，守護新生兒生命健康。

Our unit performed a total of 905 newborn screenings in 2016, and errors were discovered during the screening process, including filter paper rubbed or dried upright or placed under the radiator. Such errors motivated us to improve the accuracy of nursing staff performing newborn screening.Through analysis of the causes of errors, we discovered the following: nursing staff did not always follow the standard procedures, staff did not attach great importance to screening operations or cognitive deficits, the training program was imperfect, staff incorrectly followed standard operation procedures, screening procedures were incompletely implemented, and errors were made inputting items into the computer system. We implemented the following to improve screening performance: updated and corrected the computer system and standard operation procedure manual, promoted screening operation knowledge, designed the knack of newborn screening procedures, and replanned the training program. The newborn screening accuracy increased from 78.2% to 96.5%, and cognitive improvement increased from 62.6% to 97.4%. Thus, the project was effective.Through our project, we successfully ensured the quality of the newborn screening procedure and built a consolidated line of defense to protect the health of newborns.