月旦知識庫
 
  1. 熱門:
 
首頁 臺灣期刊   法律   公行政治   醫事相關   財經   社會學   教育   其他 大陸期刊   核心   重要期刊 DOI文章
篇名
提昇急診護理人員口服給藥作業正確性
並列篇名
Improvement on the Correctness of Oral Medication Dispending Process by Staff Nurses in the Emergency Department
作者 林素真謝慧澐莊雅惠陳麗貞
中文摘要 本專案目的在提升急診護理人員口服給藥作業正確性,以提升急診病人口服用藥之安全。由現況調查得知因急診病人就醫作業流程比照門診方式,口服用藥係交由病人自行服用,因此病人依醫囑正確服藥者僅達75.0%。經自擬之問卷及觀察表得知,護理人員執行口服給藥行為正確性平均為69.1%,提供病人用藥指導執行率76.0%,而病人對於口服給藥作業滿意度為77.8%。藉由制訂急診單一劑量給藥作業和標準流程、舉辦病人用藥安全在職教育課程、定期稽核護理人員口服給藥正確性,跨部門與急診醫學科、資管部、藥劑部溝通制定急診單一劑量給藥作業標準流程,並連結急診護理作業系統資訊功能等措施,改善後病人依醫囑口服給藥正確性由75.0%提升為100%,護理人員執行口服給藥行為正確性由69.1%提升為100%;病人對於護理人員執行口服給藥滿意度由77.8%提升至98.4%,明顯提升病人用藥安全,也提升了病人及家屬對於護理人員執行口服給藥之滿意度。
英文摘要 This project aimed to facilitate emergency department (ED) patient safety through affirming correct oral medication dispensing by the staff nurses. ED patients used to self-medication the same as the outpatient setting. However, only 75% of cases took oral medications correctly as per instruction. Surveys indicated that staff nurses correctly dispensed oral medications in only 69.1% of the cases, and offered correct guidance on drug administration in only 76%. Only 77.8% of patients were satisfied with the oral medication dispensing process offered by the staff nurses. Several measures were undertaken to affirm correct dispensing of oral medications, including the establishment of a unit-dose drug distribution system and standard medication-dispensing protocol, new training programs for staff nurses, and the incorporation of information system for the monitoring of the process. Consequently, not only all (100%) patients were found to correctly take oral medication as per instruction, but also all (100%) staff nurses became able to dispense oral medications in a correct fashion. Patients’ satisfaction with the oral medication dispensing process offered by the staff nurses has risen to 98.4% and patient safety has thus been greatly improved.
起訖頁 54-62
關鍵詞 口服給藥自主服藥單一劑量oral medicationself-medicationunit dose (UD)
刊名 長庚護理
出版單位 財團法人長庚紀念醫院
期數 201203 (23:1期)
DOI 10.3966/102673012012032301006  複製DOI  DOI申請
QRCode
 



讀者服務專線:+886-2-23756688 傳真:+886-2-23318496
地址:臺北市館前路28 號 7 樓 客服信箱
Copyright © 元照出版 All rights reserved. 版權所有,禁止轉貼節錄