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加護病房院內感染對治療成效與醫療資源耗用影響之探討__臺灣博碩士論文知識加值系統
護理之家

影響外科護病房院內感染之危險因素分析。 內外科加護病房菌血症十年流行病學調查。 成人內外科加護病房院內呼吸道感染之分佈。 肺炎的高危險病人,例如:年滿65歲以上老人每年應施打流行性感冒疫苗、每五年施打肺炎雙球菌疫苗,以預防發生肺部感染。

因其所使用之 routine 尚未列入院內處方集,故監測結果應為「未遵循」。 基準並未未要求遵循率達 100%,建議後續可請該醫師將其引用之文獻提交至團隊討論及化療藥物審查小組審核,以確認是否納入院內通用處方集中。

若小於六分者,則由臨床醫師依自己判斷決定是否給予抗生素治療。 胸部X 光檢查(包括後前像及側面像),以確立肺炎的診斷,並評估肺炎嚴重度及併發症(肋膜腔積液、氣胸、開洞)。

根據病患病史,臨床表現,理學檢查及初步實驗室診斷,完成嚴重度評估,決定門診或住院治療。 儘速(建議4 小時內)依懷疑的病原菌及肺炎嚴重度選用經驗性抗生素治療。

但以網路搜尋或超連結方式,進入本醫療機構之網址(域)直接點閱者,不在此限。 非計劃性重返病人特質及其資源耗用研究-以加護病房為例。

因應國情、人種差異及國內健保給付制度,醫院不應完全引用 NCCN 診療指引之內容作為該院共識後之指引版本。 因此,建議各團隊經過討論取得各院確立診斷之主要檢查方式的共識後,編修符合院內臨床實作之診療指引內容。 而抗生素使用的不當也會更進一步增加病人發生抗藥性細菌感染的風險。
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