優化中醫針灸流程以提升病人安全

Preventing Errors and Enhancing Patient Safety in Acupuncture: A Systematic Approach for Shared Treatment Spaces

背景：針灸治療病人逐年增加，治療室多為多位醫師共用，易產生病人辨識錯誤與核針計數異常等安全風險。為提升病人安全與醫療品質，本研究導入資訊科技與流程改進，建立安全且高效之針灸臨床管理系統。目的：建構具精準化與數位化管理之針灸作業模式，目標為病人辨識錯誤率與核針計數異常率皆為0%。方法：採多元改善措施，包括：（1）增設診間網路節點以優化資料流通；（2）建置電子白板系統以加強病人辨識與安全管理；（3）開發「精準穴位計針系統」，確保穴位定位與針數計算之準確性；（4）導入病人教育影片以提升安全意識與治療配合度。結果：成功建置電子白板與精準計針系統，顯著改善資訊即時性與治療精確度。病人辨識錯誤率降至0.01%，核針計數異常事件為0%。每月減少紙張使用約3,000張，節省人工作業時間約400分鐘，整體管理效率與醫療品質均明顯提升。結論：將資訊科技與創新管理導入針灸臨床流程，可有效降低醫療錯誤並提升病人安全。本研究成果可供中醫機構推動針灸安全管理與品質改善之參考。

Background: As the number of acupuncture patients increases, shared treatment rooms among multiple practitioners may lead to patient identification errors and needle count discrepancies. To improve safety and care quality, this study integrated digital and systematic management into acupuncture clinical practice. Objective: To establish a safe, efficient, and precision-based acupuncture management system targeting 0% patient identification errors and needle count discrepancies. Methods: A multifaceted strategy was implemented, including: (1) upgrading network infrastructure for better data flow; (2) implementing an electronic whiteboard system to enhance patient identification and safety management; (3) developing a“Precision Acupoint Needle Counting System”to ensure accurate acupoint localization and needle counting; and (4) introducing educational videos to strengthen patient safety awareness and compliance. Results: The electronic whiteboard and precision counting systems improved workflow integrity, accuracy, and information timeliness. The patient identification error rate decreased to 0.01%, with zero needle counting discrepancies. Additionally, approximately 3,000 sheets of paper and 400 minutes of manual work were saved monthly, reflecting enhanced management efficiency and overall care quality. Conclusion: The integration of information technology and innovative management effectively reduces medical errors and enhances patient safety in acupuncture practice. This model provides a practical reference for Traditional Chinese Medicine institutions to promote acupuncture safety and quality improvement.