醫療照護失效模式與效益分析應用於精神科病房COVID-19防疫

Health Care Failure Models and Benefit Analysis Applied to Psychiatric Wards COVID-19 Immunization Challenges and Responses

本文描述COVID-19的來臨，隨著疫情不斷擴散，國內外已有許多醫院發生院內感染，在人口密集單位的精神科病房要如何有效控制感染的傳播，為此專案改善動機，目的為預防精神科病房院內感染的發生。解決方案包含宣導洗手及戴口罩相關衛教、進行防護衣穿脫考核、安排同仁參加院內COVID-19實體及線上課程、執行COVID-19期間新病人入院流程及感染管制處置流程，筆者運用醫療照護失效模式與效益分析，探討精神科病房感染管制相關標準流程，優化COVID-19應變流程及提高照護品質，結果顯示截至2021年6月30日，COVID-19院內感染事件數為0件。在面臨新世代病毒的衝擊下，本案推動後的成果，不但能有效提升臨床第一線護理人員對於COVID-19的防疫水平，更為病人住院提供更高品質的照護。

This paper describes the advent of COVID-19, and the spread of the epidemic, when many hospitals in China and abroad already had nosocomial infections. We examined how to effectively control the spread of infections in closed psychiatric wards. The solution includes the promotion of hand washing and wearing masks, the wearing and taking off of protective clothing, and arranging for colleagues to participate in nosocomial infection prevention. Other solutions included COVID-19 physicals, online courses, and the implementation of COVID-19 prevention during the new patient admission process and infection control and disposal processes. The author used the health care failure mode and benefit analysis to explore the standard process of infection control in psychiatric wards to optimize the COVID-19 response process and improve the quality of care. The results showed that the number of COVID-19 nosocomial infections by June 30, 2021 was zero. In the face of the impact of the new generation of viruses, the results of this project will not only effectively improve the prevention and care of COVID-19 by the clinical front-line nursing staff, but also improve the quality of care for patients in hospitals.