以多團隊管理降低化學療法藥物外滲率改善專案

Reducing the Risk of Chemotherapy Extravasation: Formation of a Disciplinary Team

化療藥物外滲事件會造成病人傷害，故將預防外滲納入重要安全工作目標。專案醫院在2016-2017年化療外滲率為0.04%，經多團隊專案小組分析外滲原因後，透過2018年介入行動措施，包括：1.組成多團隊化療管路小組，推動化療中央靜脈導管PICC和Port-A放置、2.設置化療管路照護和化療給藥過程審核單且每月抽查完整率，並建立小組追蹤外滲事件檢討機制後，結果2019-2020年化療外滲率可降為0.02%，達專案改善化療病人安全之目標。

Chemical drug extravasation can be fatal. The prevention of chemical drug extravasation is a patient safety goal. In 2016-2017, the extravasation rate was 0.04%. A committee was formed to investigate causes of extravasation and convened from January 1 to December 31, 2018. The findings of the committee led to a project aimed at making improvements that included 1) the formation of a chemotherapy extravasation disciplinary team to promote the use of port-a-cath (port) and a peripherally inserted central catheter (PICC) and 2) the development of a chemotherapy catheter care and chemotherapy administrative process review document and a process for tracking chemotherapy extravasation. The extravasation rate decreased from 0.04% in 2017 to 0.02% in 2020. This project achieved its goal of improving the quality of patient care and better ensuring the safety of chemotherapy patients.