篇名 | 提升射頻腫瘤燒灼術病人術前準備完整率 |
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卷期 | 20:1 |
並列篇名 | Improving the Preoperative Preparation of Patient Undergoing Radiofrequency Tumor Ablation |
作者 | 陳怡燐 、 陳翊珺 、 吳怡蓁 、 陳育臨 |
頁次 | 001-012 |
關鍵字 | 射頻腫瘤燒灼 、 術前準備 、 radiofrequency ablation 、 preoperative preparation 、 TSCI |
出刊日期 | 202006 |
術前準備不完整會造成病人檢查延遲,對醫療服務品質也造成負面的影響,本院2017年1月到3月術前準備完整率僅52.3%,故本專案主要目的為提升射頻腫瘤燒灼術前準備完整率。經調查射頻腫瘤燒灼術前準備完整率低的原因,包含:缺乏衛教指導工具、缺乏射頻腫瘤燒灼術查檢表及稽核制度、缺乏射頻腫瘤燒灼術作業標準流程及教育訓練不足。本專案進行改善策略,包含:制定射頻腫瘤燒灼術檢查須知衛教單張、設計術前備物圖卡、制定術前準備提醒表單及稽核制度、制定射頻腫瘤燒灼術檢查作業指導書、舉辦在職教育訓練。結果顯示2017年11月1日~12月31日射頻腫瘤燒灼術前準備完整率提升至100%,肝癌病人照護滿意度同時也由87.47%提升至97.33%。
This project is intended to improve the preoperative preparation of radiofrequency tumor ablation therapy (RFA), the preoperative preparation rate from January to March of 2017 was only 52.3%, incomplete preparation will not only delay the patient examination, but also negatively affects the quality of medical service. The causes of low preparedness were identified as: lack of health education and guidance tools; lack of RFA check list and evaluation mechanism; lack of standard operating protocols for RFA, and insufficient training. Improvement strategies include: devise and design health education brochures for RFA preoperative preparation, devise and design a RFA tool pictorial, devise a preoperative preparation remind form and audit system, design an SOP for RFA, and organize on the job education training. The preoperative preparation completeness rate has increased to 100% from November 1stto December 31thof 2017, the satisfaction rate of liver cancer patients also increased from 87.47% to 97.33%.