落實病患禁食之改善方案

The improvement strategy for violation of fasting

病患住院期間常需禁食，本病房發現病患應禁食之缺失率高，專案小組期望改善此現況，建構「以病患安全為中心」之照護體系。經查核表查核2004年3越7至3月28日病患應禁食件數共有288件，缺失件數37件，缺失率12.85%，資料經統計分析，發現問題為：1.告示牌數量不足2.告示牌太小不醒目3.護理人員解釋不清4.病患易忘記5.病患不識字。依據問題分析、擬定改善對策，以〝創新〞手法設計禁食告示牌，制定標準作業流程，經對策實施後，病患應禁食之缺失率由12.85%降至1.83%，達到改善目標值2.08%，將其成效透過平行展開，讓全院應禁食病患確實達到禁食之目的，進而維護院內病患照護安全。

The patients hospitalized often need fasting during hospitalization., and the failure rate of fasting is high in our wards The special committee expects to improve this present situation and build care system on the basis of safety Check list from March 7th to 28th of 2004 was found that there were 288 cases of fasting and 37 of loss 12.85% of failure rate.According to statistical analysis, we found several problems , including 1.insufficient quantity of placards 2.placards too small to eye-catching, 3. The nursing staff can not explain clearly 4.patients apt to forget 5.patients illiterate. Innovation of fasting placards, SOP establishment and improving strategies decreased 1.83% of failure rate 12.85%, lower than the goal standard of 2.08%. Through effect spread, it will achieve the purpose that patients practice fasting exactly, and furthermore safety in hospital will be maintained.