運用雙向傳輸輸液管理系統提升給藥安全

Using a Two-Way Transmission Infusion Management System to Improve Drug Administration Safety

目的：以雙向傳輸輸液管理系統輔助護理人員雙人單獨覆核執行化療給藥，比較介入雙向傳輸輸液管理系統之前後給藥錯誤件數及護理人員滿意度。

方法：收集雙向傳輸輸液管理系統輔助化療給藥及人員滿意度問卷調查，進行前後資料之分析。

結果：以「護理師核對電腦醫囑」護理時數減少最顯著，護理人員整體滿意度總平均為2.99分；「餘藥提醒機制」得分最高達3.23分；且2020年5月至2021年5月發生化療輸液給藥錯誤事件均維持為零件。

結論：利用雙向傳輸輸液管理系統有效提升給藥安全及人員滿意度，降低護理人力負荷，提升化療輸液安全。

 

Purpose: In this study, a two-way transmission infusion management system was used to assist nursing staff in independently reviewing the execution of chemotherapy administration. This study compared the number of cases of erroneous chemotherapy administration and nursing staff satisfaction with the two-way transmission infusion management system before and after the intervention.

Methods: A questionnaire survey on the administration of adjuvant chemotherapy and satisfaction with the two-way transmission infusion management system was conducted. The data obtained before and after the intervention were analyzed.

Results: The implementation of the system led to the most significant reduction in nursing hours spent checking computer medical orders. The overall average score for nursing staff satisfaction was 2.99, and the “reminder mechanism for the remaining medicine” score was as high as 3.23. From May 2020 to December 2021, no incidents of errors in chemotherapy infusion administration occurred.

Conclusion: Using the two-way transmission infusion management system effectively enhanced drug delivery safety and improved staff satisfaction with the management system. The management system significantly reduced the workload of nursing personnel and improved the safety of chemotherapy infusions.