降低急診室與手術室護理交班缺失率之專案

Improvement of Accuracy of Nursing Knowledge Exchange Between ED Nurses and OR Nurses

急診室與手術室護理人員交班的完整性，關係病人後續的治療及照護，本專案旨在降低急診室與手術室護理交班的缺失率。統計本單位2011年6月1日至6月30日期間，急診手術病人交班缺失率達27.85％，分析原因為交班單不符合需求、未建立交班標準程序、交班內容未明確規範、未接受相關在職教育訓練。依原因研擬對策為制定急診室手術病人轉送交班作業標準、修訂急診室手術病人轉送交班單、舉辦在職教育、制定稽核制度。經對策實施後，急診室手術是交班缺失率由27.85％降至9.09％，達到專案目的。利用資訊化建立單位間交接班的標準化作業，提升急診手術病人交班完整性，也提供病人安全持續性完整性的護理。

The integrative nursing knowledge exchange between the emergency department (ED) and operating room (OR) is very vital for follow-up patient care ad treatments. This project was designed to reduce the rate of inaccuracy of nursing knowledge exchange between ED nurses and OR nurses. From January 1 to June 1, 2011, the inaccuracy rate was 27.85%. The analyzed causes included the unmet requirement of nursing knowledge exchange sheet, lack of nursing knowledge exchange standards, unclear contents of nursing knowledge exchange and lack of nursing knowledge exchange-related educational training. The designed strategies based on these causes were establishing operational standards for ED patient transfer for emergent surgery, revising the nursing knowledge exchange sheet for ED patient transfer for emergent surgery, holding on-job educational in-service, and establishing a monitoring system. With implementation of these strategies, the inaccuracy rate decreased from 27.85% to 9.09%. The project goal was reached. Utilization of an informational system to establish standardized operation of nursing knowledge exchange between unis promotes the integrity of ED patient transfer for emergent surgery and offers continuous safe and integrative patient care.