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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
失智症

醫院是治療疾病的地方,也是病患集中的地方。 在醫院內的任何人 (如病患、工作人員、訪客等),都可能成為散播感染病菌的來源,對住院病患造成二度傷害。 治療完成可定義為總療程或單種治療(如化學治療、放射線治療)之完成。 但考量臨床個案治療方式及時間之多元性,故宜由各院多專科團隊自行討論制定完成治療之定義。 設有異常事件通報之標準作業程序並有 PDCA 即可,但監測及改造流程等相關紀錄應彙整,且上呈癌委會(或類似單位)報告並回饋相關業務單位。 各院可依異常事件狀況自行決定參與會議人員。

委員於實地認證時,若發現醫院將抗癌藥物置放於雜亂空間,恐有安全疑慮,會現場口頭提出說明並列入評分。 由於 barcode 系統僅能輔助進行藥物名之正確性複核,IV pump 之點滴速率仍需有人工(兩位護理人員)或其他系統協助至病人單位複核設定。 本項基準並未要求第三責任單位之檢修紀錄,不管是院內相關單位或是委外單位處理,只要具備定期檢修紀錄,而紀錄中需包含持續負壓、微粒計數、微生物、風速測試等項目之監測,即符合基準精神。 化療藥物調配之複核機制旨在確保病人安全,不能因處方數目少而省略複核機制,醫院可配置一名流動藥師執行複核。

林明瀅、郭英調、王永衛、陳瑛瑛、竺珍倫、顧尤青、張智華、姜必寧。 加護中心與普通病房院內感染率之探討。

為確保病人與運送人員安全,故參與運送抗癌化學治療注射劑之相關人員需接受各院所自訂之潑灑處理相關教育訓練。 將由委員至現場進行查核後判定,使用監視器需有另一名藥師即時進行調劑正確性之監測,若監視器上未呈現日期、時間,或監視錄影僅為回溯性之監測…等,並無法確實呈現複核機制。 若藥劑端或護理端經核對發現醫師所開立之處方箋有異常,當下即與醫師聯繫確認並請其手寫修改處方箋,請問醫師是否仍須至系統修改原電子處方? 因為醫師常表示門診量大,再回去改處方耗費時間。 各院的藥品包裝、傳送方式等不盡相同。

基準的精神在於治療前需完成惡性腫瘤(含原位癌)診斷確認之複閱。 倘若病人已於病理報告複閱前接受治療,則不符合基準精神。 且此屬既定事實,無法將修改後之病理切片同儕複閱辦法列為事後補件資料。
Website: https://www.taiwaneldercare.com/
     
 
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