病房清潔人員執行病室環境清消正確率

落實正確的環境消毒是確保病人醫療安全重要的一環，清潔消毒未確實亦會增加照顧感染的風險，故引發此專案改善動機。為瞭解清潔人員執行病室環境清消情形，使用觀察表及實際訪談發現，病房清潔人員執行病室環境清消正確率僅63.5%。原因為：漂白水泡製量杯刻度認知錯誤、量杯刻度不佳、政策宣導未落實、查核工具未具體量化等。在2020年7月1日到10月10日間，專案小組更換全院漂白水量杯標示、宣導及張貼病室環境終消十步驟、辦理專案改善宣導會議、張貼環管天地公佈欄並宣導正確使用清潔工具，讓清潔人員能正確執行環境清潔消毒步驟，進而提高正確率。經上述措施執行後，清潔人員對環境清消正確率由63.5%提升至87.5%，顯示透過量化數據提供即時的監測及回饋，可提供安全衛生的環境以保障工作人員、病人及家屬的健康，期許可推廣到全台醫療院所，進而提升醫療環境品質。

Implementing correct environmental disinfection is crucial for ensuring patient safety in medical settings. Incomplete cleaning and disinfection increases the risk of infection, which motivated this project to make improvements. To understand the cleaning staff's implementation of ward environment cleanup, we used an observation checklist and conducted in-depth interviews, finding that the correct rate of implementation was only 63.5%. The reasons identified included misunderstandings regarding the measuring scale for bleach solution, poorly marked measuring cups, lack of policy communication, and inadequate quantification of inspection tools. From July 1st to October 10th, 2020, the project team initiated several measures: 1. Replaced the hospital-wide bleach measuring cup markings. 2. Publicized and posted the ten steps for ward environment disinfection. 3. Held improvement publicity meetings. 4. Posted bulletin boards on environmental management. 5. Promoted the correct use of cleaning tools. These measures aimed to enable cleaning staff to accurately perform environmental cleaning and disinfection steps, thereby improving the accuracy rate. After implementation, the accuracy rate of environmental cleaning by staff increased from 63.5% to 87.5%. This improvement demonstrates that providing real-time monitoring and feedback through quantitative data can ensure a safe and hygienic environment, protecting the health of staff, patients, and their families. This approach is expected to be extended to all medical institutions in Taiwan to improve the quality of the medical environment.