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臺灣應用輻射與同位素雜誌

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篇名 放射科兒童磁振照影檢查流程改善
卷期 17:2
並列篇名 Improvement of Children's Magnetic Resonance Imaging Examination Process in Department of Radiology
作者 劉瓊珠王基城陳素芬陳庭霖鄭旭萌林鼎裕
頁次 2095-2104
關鍵字 磁振造影嬰兒期學齡期口服鎮靜劑服務品質資源分配MRIInfancySchool AgeOral SedativesService QualityResource Allocation
出刊日期 202106

中文摘要

兒童在面對不可知的醫療措施和陌生環境,有著先前生病時對醫院經驗的負面記憶,造成父母與兒童的焦慮是普遍存在的問題。運用最有效率的方式協助兒童順利完成檢查是父母最深切的期望,也是醫護人員最重視和共同努力的目標之一。本專案係於108年8月9日至9月18日針對本院放射科磁振造影檢查,對於嬰兒期至學齡期共60位兒童父母直接進行訪談,將會影響檢查之相關問題作統整,並針對問題進行統計。作業流程經由一位技術主任、四位技術組長、三位護理人員,制定兒童磁振造影檢查其相關流程改善,及加強檢查前衛教。對於加強個別性衛教及新開藥單批價領藥等作業流程進行改善後,統計相關影響檢查之因素。增設兒童磁振造影檢查加強衛教單,新增開立口服鎮靜劑批價領藥之流程。經整體性評量,本專案實施改善前後統計分析結果顯示:一、從報到至排定檢查時間由59分鐘縮短至16分鐘。二、完成磁振造影檢查所需時間由123分鐘縮短至90分鐘。三、兒童口服鎮靜劑後熟睡所需時間由29分鐘縮短為25分鐘。四、兒童磁振照影檢查完成率由80%提高至93.3%。本專案在放射醫療服務品質改善成效上有相當的成果,期望藉此專案結果可作為管理者改善服務品質及資源分配之參考。

英文摘要

Faced with unknowable medical exams and strange environments, children had negative memories of previous experiences in hospital when they were sick. It is a common problem to cause anxiety between parents and children. The most of expectation of parents to use the most efficient way to help children to complete the examination, and it is also one of the most important goals of the medical staff of the examination department. This study was from August 9th to September 18th, 108 for the MRI examination of the radiology department of our hospital, and interviewed the parents of 60 children from infancy to school age. Relevant question that affect the MRI examination are consolidated and statistics are made for the issues. The examination process was developed by a technical director, a technical team leader and two nurses to formulate children's magnetic resonance imaging examinations to strengthen the examination and health education and examination process improvements. After individuality and strengthening of health education to improve the examination process, statistics on related factors affecting examination process. Addition of magnetic resonance imaging examinations for children to improve the health education list, and new procedures for bulk price of oral sedatives and receiving medicines The results of statistical analysis before and after the improvement of this study. 1. The time from registration to scheduled examination is shortened from 59 minutes to 16 minutes. 2. The time to complete the MRI examination has been shortened from 123 minutes to 90 minutes. 3. The time for the child to sleep after taking sedatives was shortened from 29 minutes to 25 minutes. 4. The completion rate of magnetic resonance imaging examination for children increased from 80% to 93.3%. This study has achieved considerable results in improving the quality of radiology department of medical services. It is hoped that the results of this study can be used as a reference for managers to improve service quality and resource allocation.

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