縮短新生兒外接轉診作業時間之改善專案

背景：本院為東北部急重症專責醫院，扮演周產期緊急醫療網轉診作業首選醫院，本專案旨在縮短小兒加護病房護理人員新生兒緊急轉送作業時間，有效掌握黃金救援時間，讓新生兒盡速獲得專科醫療照護，降低死亡率及併發症，提昇緊急轉送品質與時效。
目的：本專案主要目的為縮短新生兒外接轉診作業時間，目標預設為調降新生兒外接轉診作業時間50%，由38.0分鐘縮短至19.0分鐘。
解決方案：透過跨職類團隊溝通訂定「新生兒外接轉診標準作業流程」，並納入病房常規、舉辦外接轉診作業擬真實務訓練、設計卡牌遊戲增進人員熟悉度，制定外接專用急救箱及清單確認表，另針對救護車人員舉辦教育訓練等具體可執行之方案並實施。
結果：由改善前38.0分鐘降至18.4分鐘，已達到本專案之目的。
結論：藉此專案改善，明顯降低轉送作業流程所需平均時間，有效提升護理人員對外接自信度、提升流暢度，縮短新生兒緊急轉送作業時間，可於最短時效內讓新生兒盡早得到完善之照護避免產生後續併發症產生。

Background: Our hospital, a specialized institution for emergency and critical illness in the northeast region, serves as the primary choice for the emergency medical network referral during the perinatal period. This project aimed to expedite the emergency transfer of newborns by pediatric intensive care unit nurses, thereby seizing the critical window for rescue, facilitating prompt access to specialized medical care for newborns, and reducing mortality and complications to enhance the quality and efficiency of emergency transfers.
Purpose: The primary objective of this initiative was to halve the duration required for the external transfer of newborns, setting a goal to reduce the transfer time from 38.0 minutes to 19.0 minutes. Resolution: The project strategy involved fostering cross-professional team communication to develop the‘Standard Operating Procedure for External Transfer of Newborns’. This included integrating these protocols into ward routines, conducting simulation training for external transfer procedures, creating card games to improve staff familiarity with the process, preparing dedicated emergency kits and checklist confirmation forms for external transfers, and providing targeted education and training for ambulance personnel among other actionable plans.
Results: The project successfully reduced the external transfer time from 38.0 minutes to 18.4 minutes, surpassing the set goal.
Conclusion: The project significantly decreased the average time required for newborn transfers, enhancing the nursing staff's confidence in conducting external transfers, improving procedural fluency, and ensuring newborns receive timely and comprehensive care. This achievement underscores the importance of prompt emergency transfer in preventing subsequent complications and underscores the project's impact on improving patient care outcomes.