建構醫療機構病人安全監測指標之前驅實證研究

Translated title of the contribution: Establishing of Patient Safety Monitoring Indicators for Healthcare Institutions in Taiwan: a Pilot Study

楊 哲銘(Che-Ming Yang), 邱 文達(Wen-Ta Chiu), 林 靖瑛, 許 英娟(Ying-Chuan Hsu)

Research output: Contribution to journalArticle

Abstract

Objectives: A campaign to improve patient safety is being conducted globally. Taiwan does not have an objective patient safety monitoring indicator system. This research was designed to develop a patient safety monitoring system appropriate for implementation in Taiwan. Methods: The development processes included literature review and expert focus group meetings incorporating the Delphi method, and pilot testing to evaluate the validity and reliability of the potential indicators. Results: The 47 indicators selected were classified according to the 2006-2007 patient safety goals of the Department of Health (Taiwan). The indicators, which consisted of 7 categories separated into 2 levels, included medication safety (5 items), infection control (9), surgical site accuracy (1), patient identification (2), fall prevention (1), incident reporting (3) and healthcare monitoring (5). Of the 47, 10 indicators are at the optional level and 37 are at the basic level. Conclusions: We developed a patient safety indicator monitoring system through a consensus-building process for use in healthcare institutions in Taiwan. We believe that the system needs constant evaluation during clinical application. We hope that this system can be used in healthcare institutions in Taiwan as a tool to promote patient safety.
Original languageTraditional Chinese
Pages (from-to)78-84
Number of pages7
JournalTaiwan Journal of Public Health
Volume28
Issue number1
DOIs
Publication statusPublished - 2009

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Physiologic Monitoring
Patient Safety
Taiwan
Delivery of Health Care
Group Processes
Risk Management
Infection Control
Focus Groups
Reproducibility of Results
Consensus
Safety
Health
Research

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建構醫療機構病人安全監測指標之前驅實證研究. / 楊哲銘(Che-Ming Yang); 邱文達(Wen-Ta Chiu); 林靖瑛; 許英娟(Ying-Chuan Hsu).

In: Taiwan Journal of Public Health, Vol. 28, No. 1, 2009, p. 78-84.

Research output: Contribution to journalArticle

楊哲銘(Che-Ming Yang) ; 邱文達(Wen-Ta Chiu) ; 林靖瑛 ; 許英娟(Ying-Chuan Hsu). / 建構醫療機構病人安全監測指標之前驅實證研究. In: Taiwan Journal of Public Health. 2009 ; Vol. 28, No. 1. pp. 78-84.
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abstract = "目標:病人安全乃全球關注之焦點,目前台灣尚無一套客觀適用的病人安全監測工具,本研究擬建構一套適用、客觀及可量化的病人安全指標系統。方法:彙整國內外病人安全相關指標,進行專家會議,再以德菲法進行病人安全指標適用性與資料取得難易度調查,最後透過臨床前驅測試,建議一套台灣病人安全監測指標系統。結果:產生47項病人安全指標,依衛生署95-96年病人安全年度目標進行指標系統的分類,分為7大類2級,分別是用藥安全(5項)、醫療機構感染控制(9項)、手術正確性(1項)、病人辨識(2項)、預防病人跌倒(1項)、異常事件通報(3項)、醫療照護監測(5項)。第一級可選指標10項、第二級基礎指標37項。結論:本研究經由建立各項病人安全指標定義之共識,初步發展出適用於台灣的病人安全指標系統,研究產生之指標仍需在臨床使用後持續增修,以作為醫療機構促進病人安全的工具。",
keywords = "病人安全, 指標, 醫療品質, patient safety, indicator, healthcare quality",
author = "楊, {哲銘(Che-Ming Yang)} and 邱, {文達(Wen-Ta Chiu)} and 靖瑛 林 and 許, {英娟(Ying-Chuan Hsu)}",
year = "2009",
doi = "10.6288/TJPH2009-28-01-08",
language = "繁體中文",
volume = "28",
pages = "78--84",
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T1 - 建構醫療機構病人安全監測指標之前驅實證研究

AU - 楊, 哲銘(Che-Ming Yang)

AU - 邱, 文達(Wen-Ta Chiu)

AU - 林, 靖瑛

AU - 許, 英娟(Ying-Chuan Hsu)

PY - 2009

Y1 - 2009

N2 - 目標:病人安全乃全球關注之焦點,目前台灣尚無一套客觀適用的病人安全監測工具,本研究擬建構一套適用、客觀及可量化的病人安全指標系統。方法:彙整國內外病人安全相關指標,進行專家會議,再以德菲法進行病人安全指標適用性與資料取得難易度調查,最後透過臨床前驅測試,建議一套台灣病人安全監測指標系統。結果:產生47項病人安全指標,依衛生署95-96年病人安全年度目標進行指標系統的分類,分為7大類2級,分別是用藥安全(5項)、醫療機構感染控制(9項)、手術正確性(1項)、病人辨識(2項)、預防病人跌倒(1項)、異常事件通報(3項)、醫療照護監測(5項)。第一級可選指標10項、第二級基礎指標37項。結論:本研究經由建立各項病人安全指標定義之共識,初步發展出適用於台灣的病人安全指標系統,研究產生之指標仍需在臨床使用後持續增修,以作為醫療機構促進病人安全的工具。

AB - 目標:病人安全乃全球關注之焦點,目前台灣尚無一套客觀適用的病人安全監測工具,本研究擬建構一套適用、客觀及可量化的病人安全指標系統。方法:彙整國內外病人安全相關指標,進行專家會議,再以德菲法進行病人安全指標適用性與資料取得難易度調查,最後透過臨床前驅測試,建議一套台灣病人安全監測指標系統。結果:產生47項病人安全指標,依衛生署95-96年病人安全年度目標進行指標系統的分類,分為7大類2級,分別是用藥安全(5項)、醫療機構感染控制(9項)、手術正確性(1項)、病人辨識(2項)、預防病人跌倒(1項)、異常事件通報(3項)、醫療照護監測(5項)。第一級可選指標10項、第二級基礎指標37項。結論:本研究經由建立各項病人安全指標定義之共識,初步發展出適用於台灣的病人安全指標系統,研究產生之指標仍需在臨床使用後持續增修,以作為醫療機構促進病人安全的工具。

KW - 病人安全

KW - 指標

KW - 醫療品質

KW - patient safety

KW - indicator

KW - healthcare quality

U2 - 10.6288/TJPH2009-28-01-08

DO - 10.6288/TJPH2009-28-01-08

M3 - 文章

VL - 28

SP - 78

EP - 84

JO - 台灣公共衛生雜誌

JF - 台灣公共衛生雜誌

SN - 1023-2141

IS - 1

ER -