提升新生兒加護病房母乳庫管理成效

Improving the efficacy of the breast milk bank management in newborn intensive care unit

臨床發現單位母乳庫管理成效不佳，不僅浪費病嬰母乳，更可能引起家屬的不信任感及抱怨，造成護病關係緊張，故引發改善動機，期待針對問題改善，提升護理人員執行母乳庫管理的效能。調查發現單位未設立母乳交接標準、母乳庫空間設置不佳、缺乏合適資訊化訓練，導致護理人員母乳庫管理正確性僅73.6%。專案小組透過擬定母乳管理資訊化系統操作手冊、舉辦母乳管理資訊化教育訓練、建立母乳交接管理準則、訂製冷凍庫專用收納盒、設計冷凍母乳收納袋、設計冷凍母乳庫存提醒小卡、建立母乳庫管理稽核機制之改善措施，護理人員執行母乳庫管理之完整率由改善前73.6%提升至95.1%，母乳管理資訊化操作正確率由62.9%提升至94.3%，護理人員尋找母乳平均耗時從改善前158秒降至15秒，大幅減少護理人員工作耗時，有效提升護理人員執行母乳庫管理之成效，維持良好照護品質。

Clinical observations revealed that the management of the breast milk bank (BMK) was ineffective, leading to breast milk waste, complaints from family members, and strained relationships between patients and nurses—ultimately affecting staff motivation to improve efficiency. A survey identified key issues, including the absence of standardized breast milk transfer procedures, inadequate space planning, and insufficient training. As a result, the overall accuracy of BMK management was only 73.6%. To address these problems, the project team developed BMK operation manuals, organized staff education and training, established standardized transfer procedures, customized storage boxes for freezing, designed labeled storage bags and memos, and implemented a system for quality breast milk collection. These interventions led to significant improvements: the completeness rate of breast milk storage increased from 73.6% to 95.1%, the accuracy of information handling rose from 62.9% to 94.3%, and the time required for initial processing dropped from 158 seconds to just 15 seconds. These outcomes greatly enhanced nurses’efficiency in managing the BMK and ensured a higher standard of care.