提升門診智慧醫療生理測量數值自動上傳效率

Improvement in Efficiency of Uploading Data of Vital Parameters Onto Electronic Medical Records Among Outpatients

智慧醫療蓬勃發展與創新對醫療保健產生多方面的影響，透過網路傳輸生理監測數值至電子病歷可快速提供醫師診療資訊。門診施行自動上傳後其使用率僅25.7％，正確率僅23％，經現況分析發現主要問題有：一、病人方面：操作方式錯誤。二、護理人員方面：缺乏指導單張可使用。三、儀器設備：健保卡插入孔不明顯、OK按鍵標示不清及軟體設計不良。四、操作指引方面：內容不清楚。改善措施為宣導儀器操作方式、以圖卡及邊框標示插槽孔及OK鍵、製作圖文並存操作指引、改良儀器軟體設計及商議志工協助。透過專案實施後，結果顯示生理監測數值自動上傳使用率由25.7％提升至92.5％，正確率由23％提升至95％，顯示專案措施介入成效顯著。

Innovations and rapid technological developments in Smart Medicine have profoundly influenced many aspects of health care. Vital parameters are monitored by directly transmitting the data into electronic medical records. The records can then be quickly accessed by the physician through the Internet. Although we provided a machine for uploading the vital parameters in our outpatient clinic, the equipment utilization and value upload accuracy were only 25.7% and 23%, respectively. Upon analyzing the situation, we found major issues. First, the patients could not follow the instrument operation guide. Second, the nursing staff did not have instrument operation sheets to instruct the patient on how to use the machine. Third, the slot for inserting the health insurance card on the equipment could not be easily identified, the text in the "OK" key was not clear, and the software program had failed. Fourth, the operating guidelines were not clear. After implementation of the project, the results showed that the equipment utilization for outpatients increased from 25.7% to 92.5%, and the accuracy increased from 23% to 94%.