提升整形外科護理人員計價完整率

Improvement Approach for Charge Completeness of Nurses in Plastic Surgery

物料計價不完整會影響單位成本、臨床作業流暢度及病人安全。本專案的目的為提升 整形外科護理人員計價完整率，現況分析發現，整形外科護理人員計價完整率僅達63.5% 。確立原因：計價認知正確率低，人員不熟悉計價，計價項目缺乏專科性，在職教育課 程針對計價相關內容過少。實際解決方案:舉辦「專科性計價認知說明會」、製作「計價 查詢範本」、「計價懶人包」、「專科常用的計價處置項目對照表」、「專科計價項目 提示卡」及「計價完整提醒標語」，建立查核機制。透過專案改善後，整形外科護理人 員計價完整率提升至95.3%，建議計價認知說明應納入人員在職教育，建立正確計價觀念 ，提升護理人員工作效率及病人安全品質。（志為護理，2020; 19:5, 97-109 ）

An incomplete approach for charge completeness not only results in increase of costs and decrease in productivity, but also affects the patient safety. The purpose of this project is to improve the approach for charge completeness of nurses in plastic surgery. Before the improvement program, the charge completeness of nurses in plastic surgery was 63.5%. After analyzing the current status, we found that there was low levels of the overall knowledge about charge completeness, the staff with unaware/unfamiliar with the pricing, the pricing project lacked specialty, and less charge completeness education courses. The improvement approaches included: establishment of charge assisting tools such as "template for demand charge", "charge of easy and convenient," and establishing an audit team, providing specialized education. After the improvement program, the approach for charge completeness of nurses in plastic surgery increased to 95.3%. The program not only improved the nurses' knowledge about charge and charge completeness, but also promoted the patient safety. (Tzu Chi Nursing Journal, 2020; 19:5, 97-109)