臺灣醫學中心放射線科檢查流程之病人安全調查

Translated title of the contribution: Survey of Patient Safety in the Examination Process of Diagnostic Radiology Departments at Medical Centers in Taiwan

Wing P. Chan, Ying Jung Lai, Cheng-Yu Chen, Cheng-Yen Chang, Ming Fang Lin, San Kan Lee, Kuo Mou Huang

Research output: Contribution to journalArticle

Abstract

The aim of this study was to survey the current status of a patient safety index and preventive policy for the process of radiological examination in medical centers in Taiwan.
We translated the quality map reported by Swensen and Johnson in the Journal of American College of Radiology into eight steps, and from this reference, we designed questionnaires which were mailed to 17 medical centers in Taiwan.
The response rate was 88% (15/17). Items that were elected to be important to patient safety were, in order: to confirm the patient's identity; to inform the patients, orally, about health education or attention matters before the examination; to record and prevent contrast-medium extravasations (annual extravasations per medical center: large amount, 2.38±2.22 (mean SD); small amount, 11.30±8.41) and allergic reactions (annual reactions per medical center: severe, 1.39±1.84; mild, 63.85±51.43); to establish a reminder system for patients at high risk (13/15 hospitals; monthly reporting rate, 0.86±0.96%).
This study offers a survey of the current status of patient safety control during the process of diagnostic radiology examination. We recommend that our radiological society establish a guideline to promote patient safety in the radiological examination process at all hospitals in Taiwan.
Original languageTraditional Chinese
Pages (from-to)193-203
Number of pages11
JournalChinese Journal of Radiology
Volume32
Issue number4
Publication statusPublished - 2007

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Patient Safety
Taiwan
Radiology
Extravasation of Diagnostic and Therapeutic Materials
Reminder Systems
Health Education
Hypersensitivity
Guidelines
Surveys and Questionnaires

Cite this

Chan, W. P., Lai, Y. J., Chen, C-Y., Chang, C-Y., Lin, M. F., Lee, S. K., & Huang, K. M. (2007). 臺灣醫學中心放射線科檢查流程之病人安全調查. Chinese Journal of Radiology, 32(4), 193-203.

臺灣醫學中心放射線科檢查流程之病人安全調查. / Chan, Wing P.; Lai, Ying Jung; Chen, Cheng-Yu; Chang, Cheng-Yen; Lin, Ming Fang; Lee, San Kan; Huang, Kuo Mou.

In: Chinese Journal of Radiology, Vol. 32, No. 4, 2007, p. 193-203.

Research output: Contribution to journalArticle

Chan, WP, Lai, YJ, Chen, C-Y, Chang, C-Y, Lin, MF, Lee, SK & Huang, KM 2007, '臺灣醫學中心放射線科檢查流程之病人安全調查', Chinese Journal of Radiology, vol. 32, no. 4, pp. 193-203.
Chan, Wing P. ; Lai, Ying Jung ; Chen, Cheng-Yu ; Chang, Cheng-Yen ; Lin, Ming Fang ; Lee, San Kan ; Huang, Kuo Mou. / 臺灣醫學中心放射線科檢查流程之病人安全調查. In: Chinese Journal of Radiology. 2007 ; Vol. 32, No. 4. pp. 193-203.
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title = "臺灣醫學中心放射線科檢查流程之病人安全調查",
abstract = "本研究目的在瞭解台灣各醫學中心放射線科檢查流程之病人安全機制施行現況。 參照ACR期刊中Swensen與Johnson提出之放射檢查流程,經修改為八個步驟,建立監控病人安全指標措施與預防之問卷,郵寄17家醫學中心,藉此了解各醫學中心放射科對病人安全機制之實行現況。 樣本回收15份(88{\%}),醫院認為最重要的病人安全監控項目依序為:核對病人身分、對病人做口述衛教或注意事項說明、顯影劑滲漏紀錄(平均每年每家醫學中心顯影劑大量滲漏2.38±2.22件,小量滲漏1.30±8.41件)、顯影劑過敏紀錄(嚴重過敏1.39±1.84件,輕微過敏63.85±51.43件)、建立高危險通報系統(佔13家醫院,平均每月通報率0.86±0.96{\%})等。 本研究結果提供各醫學中心放射線檢查對病人安全監控之現況,參酌專家意見後,將進一步提出我國放射線科病人安全流程指引,期望病人安全流程能落實至各醫院,並將列入醫院評鑑項目,以降低因流程造成的疏誤,促進病人安全系統的提升。",
author = "Chan, {Wing P.} and Lai, {Ying Jung} and Cheng-Yu Chen and Cheng-Yen Chang and Lin, {Ming Fang} and Lee, {San Kan} and Huang, {Kuo Mou}",
year = "2007",
language = "繁體中文",
volume = "32",
pages = "193--203",
journal = "Chinese Journal of Radiology",
issn = "1018-8940",
publisher = "中華民國放射線醫學會",
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T1 - 臺灣醫學中心放射線科檢查流程之病人安全調查

AU - Chan, Wing P.

AU - Lai, Ying Jung

AU - Chen, Cheng-Yu

AU - Chang, Cheng-Yen

AU - Lin, Ming Fang

AU - Lee, San Kan

AU - Huang, Kuo Mou

PY - 2007

Y1 - 2007

N2 - 本研究目的在瞭解台灣各醫學中心放射線科檢查流程之病人安全機制施行現況。 參照ACR期刊中Swensen與Johnson提出之放射檢查流程,經修改為八個步驟,建立監控病人安全指標措施與預防之問卷,郵寄17家醫學中心,藉此了解各醫學中心放射科對病人安全機制之實行現況。 樣本回收15份(88%),醫院認為最重要的病人安全監控項目依序為:核對病人身分、對病人做口述衛教或注意事項說明、顯影劑滲漏紀錄(平均每年每家醫學中心顯影劑大量滲漏2.38±2.22件,小量滲漏1.30±8.41件)、顯影劑過敏紀錄(嚴重過敏1.39±1.84件,輕微過敏63.85±51.43件)、建立高危險通報系統(佔13家醫院,平均每月通報率0.86±0.96%)等。 本研究結果提供各醫學中心放射線檢查對病人安全監控之現況,參酌專家意見後,將進一步提出我國放射線科病人安全流程指引,期望病人安全流程能落實至各醫院,並將列入醫院評鑑項目,以降低因流程造成的疏誤,促進病人安全系統的提升。

AB - 本研究目的在瞭解台灣各醫學中心放射線科檢查流程之病人安全機制施行現況。 參照ACR期刊中Swensen與Johnson提出之放射檢查流程,經修改為八個步驟,建立監控病人安全指標措施與預防之問卷,郵寄17家醫學中心,藉此了解各醫學中心放射科對病人安全機制之實行現況。 樣本回收15份(88%),醫院認為最重要的病人安全監控項目依序為:核對病人身分、對病人做口述衛教或注意事項說明、顯影劑滲漏紀錄(平均每年每家醫學中心顯影劑大量滲漏2.38±2.22件,小量滲漏1.30±8.41件)、顯影劑過敏紀錄(嚴重過敏1.39±1.84件,輕微過敏63.85±51.43件)、建立高危險通報系統(佔13家醫院,平均每月通報率0.86±0.96%)等。 本研究結果提供各醫學中心放射線檢查對病人安全監控之現況,參酌專家意見後,將進一步提出我國放射線科病人安全流程指引,期望病人安全流程能落實至各醫院,並將列入醫院評鑑項目,以降低因流程造成的疏誤,促進病人安全系統的提升。

M3 - 文章

VL - 32

SP - 193

EP - 203

JO - Chinese Journal of Radiology

JF - Chinese Journal of Radiology

SN - 1018-8940

IS - 4

ER -