運用商業智慧（BI）於手術室壓力性損傷資料視覺化之成效

The Effectiveness of Applying Business Intelligence (BI) in Visualizing Surgical Pressure Injury Data

壓力性損傷為重要臨床品質指標，目前政策面希望在手術期間評估病人壓傷風險因子及制定改善計畫。然而，臨床護理人員面臨龐大的病患資料分析工作，影響了即時分析手術室壓力性損傷的能力。為解決此問題，手術室導入商業智慧（Business Intelligence，BI）系統，整合並結構化病患資料，利用結構化查詢語言（Structured Query Language，SQL）進行自動化分析，並生成視覺化報告。透過BI系統，手術室能夠即時識別壓力性損傷發生之好發科別及手術臥位，針對資料進行深入分析檢討。
在改善措施方面，手術室針對平躺及俯臥患者引入防護設備如減壓墊和皮膚保護噴劑。經過持續的監測與改進，手術室的年度壓力性損傷發生率從2022年的0.47%降至2024年的0.35%。此外，針對醫療器材造成的壓力性損傷，手術室也建立了專案改善機制，顯著降低了相關事件的發生。
BI技術的應用顯著提升了患者安全，並有效降低了手術室壓力性損傷的發生率，未來將持續進行數據監測以進一步改善醫療環境。

Pressure injuries are an important clinical quality indicator, and it demonstrates the need to assess patient risk factors and develop improvement plans during surgery. However, clinical nursing staff face an overwhelming amount of patient data analysis, which affects their ability to promptly analyze pressure injuries in the operating room.
To address this issue, the operating room implemented a Business Intelligence (BI) system to integrate and structure patient data. Using Structured Query Language (SQL), the system automates data analysis and generates visualized reports. Through the BI system, the operating room can promptly identify the departments and surgical positions with a higher incidence of pressure injuries, enabling in-depth data analysis and review.
As part of the improvement measures, the operating room introduced protective equipment, such as pressure-relief pads and skin protection sprays, for patients in supine and prone positions. Through continuous monitoring and improvement efforts, the annual incidence of pressure injuries in the operating room decreased from 0.47% in 2022 to 0.35% in 2024. Additionally, to address pressure injuries caused by medical devices, the operating room established a specialized improvement mechanism, significantly reducing related incidents.
The application of BI technology has significantly enhanced patient safety and effectively reduced the incidence of pressure injuries in the operating room. Moving forward, continuous data monitoring will be conducted to further improve the medical environment.