| 英文摘要 |
Patient safety is highly valued around the world. Since 2013, the Joint Commission of Taiwan (JCT) has been promoting the standard operating procedures (SOP) of patient transferring, including risk assessment, proper staff allocation, well-equipped facility, and a transfer process standard. In 2012, the emergency department (ED) in our hospital has found 94 abnormal events of transferring critically ill patients, which motivated the medical staff to develop strategies to reduce the chance of unsafe transferring. The objective of the project is to enhance safety of transferring critically ill patients in ED to 99%. After literature review and discussions, the following strategies were introduced: 1) developing the pretransfer checklist; 2) revising the SOP of patient transfer; 3) developing an oxygen cylinder duration chart; 4) organizing hands-on staff trainings; 5) setting up access control function at ED-only elevators; and 6) developing an audit program for SOP. The percentage of patient being safely transferred from ED to ICU has increased from 76.8% to 99.3%. We expect zero abnormality in transferring critically ill patients by sharing patient transfer SOP with nurses. |
