{"title":"致力卓越、創新醫療：雙和提升醫品病安的旅程","authors":"林睿騏 林睿騏, 張芸瑋 張芸瑋, 陳立軒 陳立軒, 李慈恩 李慈恩, 蔡易杰 蔡易杰, 吳美儀 吳美儀, 程毅君 Mei-Yi Wu","doi":"10.53106/199457952024051803016","DOIUrl":"https://doi.org/10.53106/199457952024051803016","url":null,"abstract":"\u0000 雙和醫院自2008年開院以來一直秉持以病人及員工為中心的服務理念，持續提升醫療品質和病人安全。醫療品質部結合醫院理念，推動卓越服務，包括健全品質與安全管理、人才培育、競賽活動以及創新特色發展。在醫療品質推動方面，醫院重視病人安全，鼓勵異常事件通報文化，並進行指標管理以及人才培育。此外，醫院積極參與各項競賽活動，鼓勵全院參與品質改善，並提供完善獎勵。在創新特色發展方面，推動智慧醫療、醫病共享決策和明智選擇等服務，以提供更加有效的醫療照護。未來，醫院將持續與其他醫療機構合作，建立共享交流平台，推動醫療品質和病人安全，以提供高品質的國際一流醫療服務為目標。\u0000 Since its opening in 2008, Shuang Ho Hospital has upheld the concept of patient- and staff- centered service to continuously enhance health-care quality and patient safety. The Department of Healthcare Quality promotes service excellence in alignment with the hospital’s philosophy, which encompasses robust quality and safety management, talent cultivation, competition activities, and the development of innovative features. In promoting health-care quality, the hospital emphasizes patient safety, encourages a culture of reporting abnormal events, conducts benchmarking tests, and fosters talent development. In addition, Shuang Ho Hospital actively participates in various competitions, encourages hospital-wide participation in quality improvement, and provides comprehensive rewards. Regarding innovative feature development, the hospital promotes intelligent health care, shared decision-making, and Choosing Wisely initiatives to enhance the effectiveness of health-care services. In the future, Shuang Ho Hospital will continue to collaborate with other health- care organizations to establish a platform for sharing and exchanging ideas to promote health-care quality and patient safety, with the goal of providing high-quality, world-class health care services.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"11 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141048058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"快速應變團隊對住院死亡率的影響","authors":"黃英媚 黃英媚, 紀淑靜 紀淑靜, 黃煜為 Shu-Ching Chi, 蔡易廷 Yu-Wei Huang, 黃蓮恩 黃蓮恩, 許智偉 許智偉","doi":"10.53106/199457952024051803018","DOIUrl":"https://doi.org/10.53106/199457952024051803018","url":null,"abstract":"\u0000 目的：許多研究對醫院導入快速應變團隊是否能降低住院死亡發生率有不同結論。此研究目的為進一步探討快速應變團隊對住院死亡發生率的影響。材料與方法：本研究為品質改善專案前後對照研究，資料收集來源自單一醫院之一般病房成人病人，收集時間自2014年01月至2019年12月，統計分析使用普通最小平方法。結果：未導入快速應變團隊期間，一般病房住院死亡率（不包含DNR病人）為0.47%，而完全導入快速應變團隊後，死亡率降至0.2%，降幅達到顯著水準。同時，未導入快速應變團隊前非預期心跳停止發生率為0.07%，而完全導入快速應變團隊後，非預期心跳停止發生率降至0.03%，降幅同樣達到顯著水準。然而，一般病房住院病人總死亡率（包含DNR病人）並無因為導入快速應變團隊而改善。結論：完整導入快速應變系統不能降低一般病房住院病人總死亡率，但能降低不包含DNR之一般病房病人住院死亡率與非預期心跳停止發生率。\u0000 Purpose: Studies have reported controversial results regarding the effect of rapid response teams (RRTs) on decreasing in-hospital mortality. Therefore, we conducted a study to investigate whether the complete implementation of RRT can decrease in-hospital mortality rates and the incidence of unexpected cardiac arrests in the hospital. Materials and Methods: This before-and-after study collected data from a single hospital between January 2014 and December 2019. We evaluated the differences in in-hospital mortality rates and the incidence of unexpected cardiac arrest before and after the complete implementation of an RRT in the hospital. Results: The in-hospital mortality rate [excluding patients with do-not-resuscitate (DNR) orders] decreased from 0.47% to 0.2% after complete implementation of the RRT, achieving a statistically signifi diff Furthermore, the incidence of unexpected cardiac arrests decreased from 0.07% to 0.03% after the complete implementation of the RRT. However, the overall in-hospital mortality rate (including DNR patients) exhibited no statistically signifi diff after RRT implementation. Conclusion: The complete implementation of an RRT did not decrease the overall in-hospital mortality rate but did decrease the in-hospital mortality rate (excluding DNR patients) and the incidence of unexpected cardiac arrests in the hospital.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"448 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141028230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
醫療品質雜誌Pub Date : 2024-05-01DOI: 10.53106/199457952024051803005
李君儀 李君儀, 卓一嫻 Jiun-Yi Li, 黎憶萍 黎憶萍, 許錦城 I-Ping Li
{"title":"運用臨床稽核落實評鑑日常化","authors":"李君儀 李君儀, 卓一嫻 Jiun-Yi Li, 黎憶萍 黎憶萍, 許錦城 I-Ping Li","doi":"10.53106/199457952024051803005","DOIUrl":"https://doi.org/10.53106/199457952024051803005","url":null,"abstract":"\u0000 臨床稽核是在結構、過程與成果面進行系統性的檢視，達到以病人為中心之醫療照護的目標，能夠幫助醫療機構減少「想像中的工作」和「實際執行的工作」之間差距的方法，強化同仁平日的病人安全意識，減少醫療作業的不穩定性，符合最佳實證流程，並且提升醫院內部自我查核與持續改善的動力。臨床稽核的執行，需要成立臨床稽核團隊並培訓稽核員，根據醫療照護準則制定評核標準並建置稽核相關表單，訂定稽核主題與時程安排，實際稽核的執行，並對稽核結果的檢討改善與追蹤，才能確保臨床實務遵從標準流程，落實評鑑以病人為中心的精神。\u0000 Clinical audits systematically review structures, processes, and outcomes to achieve patient- centered health care. They help health-care institutions bridge the gap between \"work as imagined\" and \"work as done,\" reinforcing staff’s awareness of patient safety, reducing operational instability, adhering to best evidence-based practices, and enhancing the hospital’s internal self-assessment and continuous improvement efforts. Implementing clinical audits involves establishing a clinical audit team, training auditors, developing assessment criteria based on health-care standards, creating audit-related forms, setting audit themes and schedules, conducting audits, reviewing results for improvement opportunities, and tracking progress. These steps ensure that clinical practice follows standard processes and implements the patient-centered health care emphasized in medical center accreditation.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"112 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141032039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"推動全員參與的品質管理 精進醫療品質與病人安全","authors":"陳韻靜 陳韻靜, 朱芳業 Yun-Ching Chen, 張瑋佳 Fang-Yeh Chu, 曾壹芳 曾壹芳, 彭渝森 彭渝森, 邱冠明 邱冠明","doi":"10.53106/199457952024051803017","DOIUrl":"https://doi.org/10.53106/199457952024051803017","url":null,"abstract":"\u0000 亞東醫院隨著品安發展趨勢與各式品管活動之演進，從全面推動單位品質架構、建置自動化指標監測機制、鼓勵品質改善活動等，持續活絡院內醫品病安持續改善之動力與投入，落實考量病人的需求與整合納入病人的偏好，導入各式資訊及通訊技術，不斷地優化與智能化醫療服務流程與增進醫護團隊醫療決策輔助之深度，且以區域聯盟醫院共同精進之理念，與合作醫院建立品質提升夥伴關係，共同促進與提升醫療品質與改善病人安全。\u0000 As Far Eastern Memorial Hospital progresses with the evolving trends in safety and quality development and various quality management activities, it has fully committed to promoting a comprehensive department quality framework, establishing automated monitoring mechanisms for indicators, and encouraging quality improvement activities. These efforts are designed to sustain the momentum and investment in continuous improvements in medical quality and patient safety within the hospital. By integrating patient needs and preferences and by incorporating various information and communication technologies, the hospital continually optimizes the intelligence of medical service processes and enhances to depth of medical decision-making for healthcare teams. Additionally, with a philosophy of shared improvement with regional alliance hospitals, Far Eastern Memorial Hospital has established quality enhancement partnerships with collaborating institutions to jointly advance medical quality and enhance patient safety.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"4 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141047245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
醫療品質雜誌Pub Date : 2024-05-01DOI: 10.53106/199457952024051803007
黃麗月 黃麗月, 鄭嘉惠 鄭嘉惠, 張鴻 張鴻, 吳俊德 吳俊德, 陳建宗 陳建宗
{"title":"持續創新再造— 卓越的醫療品質與病人安全","authors":"黃麗月 黃麗月, 鄭嘉惠 鄭嘉惠, 張鴻 張鴻, 吳俊德 吳俊德, 陳建宗 陳建宗","doi":"10.53106/199457952024051803007","DOIUrl":"https://doi.org/10.53106/199457952024051803007","url":null,"abstract":"\u0000 林口長庚紀念醫院於1978年落成啟用，為衛生福利部評定優等之醫學中心與重度級急救責任醫院，亦是國內規模最大的醫療機構。為落實與提升醫療品質與病人安全，設立醫療品質暨病人安全委員會，並成立品質管理中心，統籌醫療品質與病人安全業務上之執行與分析檢討推動，透由健全醫療品質與病人安全管理架構、醫療品質與病人安全提升策略、醫療作業標準化、積極發展智慧醫療，在歷任院長及同仁持續耕耘下，持續進行內部的創新和改革，精進全方位智慧醫院，高評價通過多項國際認證肯定，展現卓越之價值與提供卓越的醫療服務。\u0000 The Chang Gung Memorial Hospital, Linkou inaugurated in 1978, is designated by the Ministry of Health and Welfare as a top-tier healthcare center and a critical emergency hospital, rendering it the largest healthcare institution in the country. To enforce and enhance healthcare quality and patient safety, the hospital established the Healthcare Quality and Patient Safety Committee and the Quality Management Center. These bodies coordinate the execution and analysis of initiatives aimed at improving healthcare quality and patient safety through a robust management framework, enhancement strategies, standardization of medical operations, and the active development of smart healthcare solutions. Under the continuous efforts of successive directors and staff, the hospital consistently pursues internal innovation and reform. It has advanced as a comprehensive smart hospital, highly recognized through numerous international certifications, demonstrating its exceptional value and providing outstanding healthcare services.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141025173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
醫療品質雜誌Pub Date : 2024-05-01DOI: 10.53106/199457952024051803021
白爾雅 白爾雅
{"title":"從生理性別、社會性別和交織性來談醫學研究中 不可缺少的性別觀點","authors":"白爾雅 白爾雅","doi":"10.53106/199457952024051803021","DOIUrl":"https://doi.org/10.53106/199457952024051803021","url":null,"abstract":"\u0000 由性別醫學所帶動、在醫學研究中增加性別分析的趨勢，在國際上與臺灣都受到極大的重視。使用性別分析來進行研究，即是在研究的每一個階段中，以生理性別(sex)、社會性別(gender)和交織性(intersectionality)分析來進行檢視研究設計中的性別盲點，亦即以「性別化創新」的概念來進行醫學研究。運用性別分析可以幫助我們檢討過去被視為理所當然的「預設值」。從性別的視角出發，讓我們可以看見更多其他的受壓迫主體和身體經驗，修正過去以預設值為醫學研究的基礎，增進各個性別主體的福祉。\u0000 The trend of incorporating gender analysis in medical research, driven by gender medicine, has garnered considerable attention both internationally and in Taiwan. Conducting research with gender analysis involves examining each phase of the research through the lenses of biological sex, gender, and intersectionality, to identify blind spots in research designs. This approach, referred to as gendered innovation, utilizes gender analysis to reassess what have traditionally been considered default assumptions. Adopting a gender perspective, we can acknowledge more of the oppressed individuals and bodily experiences, rectify past assumptions used as the foundation for medical research, and enhance the well-being of individuals across all genders.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141025135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
醫療品質雜誌Pub Date : 2024-05-01DOI: 10.53106/199457952024051803015
莊子清 莊子清, 陳姵妏 陳姵妏, 林若涵 林若涵, 盧彩屏 盧彩屏
{"title":"從品質推動策略日常化累積品質改善能量","authors":"莊子清 莊子清, 陳姵妏 陳姵妏, 林若涵 林若涵, 盧彩屏 盧彩屏","doi":"10.53106/199457952024051803015","DOIUrl":"https://doi.org/10.53106/199457952024051803015","url":null,"abstract":"\u0000 本院是公立醫院肩負著提升醫療品質的責任與使命，透過設計良好的品質策略及維持改善能力之品質系統，以達病人為中心的核心價值。本次醫中評鑑任務首次將「卓越之醫療品質與病人安全」納入評比，評鑑委員以客觀評價醫院提供醫療服務是否達到水準。本院準備過程透過日常化的品質推動策略，包含：系統驅動品質改善（病安通報、標準化、指標監測、專案改善）、辦理各項品質活動、完善的獎勵制度、邀請醫師參加各項品質活動、人才培育與單位輔導等。人員素質提升後，運用品管工具找到問題的真因並進行策略調整，改善成效良好鼓勵對外發表，透過同儕交流學習對同仁品質改善視野更寬闊，對於品質促進我們將持續努力，以創造卓越的品質文化並持續深耕。\u0000 Taoyuan General Hospital, Ministry of Health and Welfare, a public institution, bears the responsibility and mission of enhancing medical quality. By designing effective quality strategies and maintaining a robust quality system to improve capabilities, we aim to fulfill our core value of patient-centered care. The current Medical Center Hospital Evaluation incorporated the \"Medical Quality and Patient Safety Excellence\" category for the first time. The reviewers conducted an objective assessment to determine if the healthcare services provided met the required standards. During the preparation phase, Taoyuan General Hospital, Ministry of Health and Welfare implemented daily quality promotion strategies, including system-driven quality improvements (patient safety incident reporting, standardization, indicator monitoring, and project-based enhancements), organizing various quality- related activities, a comprehensive reward system, and inviting physicians to participate in quality events, talent cultivation, and departmental coaching. As personnel literacy enhanced, quality control tools were utilized to identify the root causes of problems and adjust strategies accordingly. The effective improvement in achievement should be presented externally. Through peer interactions, our staff’s perspectives on quality improvement broadened. We remain committed to promoting quality and will continue to strive to foster a culture of excellence and deepen our engagement in quality cultivation.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"18 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141037670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"追求卓越之醫療品質、重視病人安全","authors":"王依虹 王依虹, 葉麗芬 葉麗芬, 胡子宇 胡子宇, 李佳晏 李佳晏, 李思潔 Chia-Yen Li, 吳榮崇 吳榮崇, 陳彥穎 陳彥穎, 陳昱安 陳昱安, 陳宗毅 陳宗毅, 黃才旺 黃才旺","doi":"10.53106/199457952024051803004","DOIUrl":"https://doi.org/10.53106/199457952024051803004","url":null,"abstract":"\u0000 本院秉持「關懷、品質、紀律、創新」的核心價值，透過單位擬定的計畫、執行、檢核、行動之管理循環，建構全院系統化品質管理策略。醫療品質與病人安全需要全院共同參與推動，參照醫療團隊運作模式落實臨床實務運用，結合擬真教案設計及帶狀循環課程排定，以擬真情境模擬實際操作及體驗，學習處理病人的臨床技能、團隊合作，另融合智慧化輔助，培養各部科醫師參與及帶領醫院品管任務，以展現卓越醫療品質及病人安全。\u0000 Our institution adheres to the core values of \"care, quality, discipline, and innovation.\" We implemented a comprehensive, systematic quality management strategy throughout the hospital. We also implemented a management cycle of planning, execution, verification, and action proposed by various units. Enhancing health-care quality and patient safety requires the collective participation of the entire hospital in implementing clinical practices based on the medical team’s operational model. We achieve this through the integration of realistic case study designs and looped course scheduling, employing high-fidelity simulation scenarios for actual operation and experiential learning in handling patient clinical skills and teamwork. Coupled with smart assistance, we encourage physicians from all departments to participate in and lead hospital quality control tasks, thereby demonstrating exceptional health care quality and patient safety.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141026143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
醫療品質雜誌Pub Date : 2024-05-01DOI: 10.53106/199457952024051803014
施俊明 施俊明
{"title":"病安文化扎根—卓越醫療品質生態圈","authors":"施俊明 施俊明","doi":"10.53106/199457952024051803014","DOIUrl":"https://doi.org/10.53106/199457952024051803014","url":null,"abstract":"\u0000 本院整合團隊照護與專注深化發展，落實「全人醫療」的使命是始終不變的初衷，是建立優質醫療服務的基石。另一方面，品質文化的塑造，透過Bottomup的管理模式，以醫品懇談、內部稽核深入基層，讓同仁勇於反應病人安全與工作環境問題，將病人安全理念向下扎根。同時，數位轉型是21世紀趨勢，從BI到AI儼然不是口號，如何使醫療科技更具有溫度，讓服務更具智慧，是智慧醫院(SmartHospital)並行的重要課題。\u0000 Our institution is committed to integrating team-based care and focusing on the in-depth development of holistic health care, which remains our steadfast initial intent and the cornerstone for establishing high-quality healthcare services. Additionally, the cultivation of a quality culture through a bottom- up management model involves healthcare quality dialogues and deep-rooted internal audits that encourage staff to actively address issues related to patient safety and the working environment, thereby further embedding the principles of patient safety. Additionally, digital transformation, which is a major trend in the 21st century, has led to a major transition from business intelligence to artificial intelligence. The challenge lies in how to humanize healthcare technology to enhance service intelligence, which is a critical issue in the advancement of smart hospitals.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"24 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141037512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
醫療品質雜誌Pub Date : 2024-03-01DOI: 10.53106/199457952024031802006
陳柏成 陳柏成
{"title":"推動環境安全諮詢計畫－衛生福利部臺南醫院參與「醫療機構環境安全諮詢計畫(SHEAP)」經驗分享","authors":"陳柏成 陳柏成","doi":"10.53106/199457952024031802006","DOIUrl":"https://doi.org/10.53106/199457952024031802006","url":null,"abstract":"\u0000 本文分享財團法人醫院評鑑暨醫療品質策進會推動「環境安全諮詢計畫」，由兩位國內專家輔導委員及一位國外ACHSI輔導委員以緊急應變計畫、建築與設備、管理機制三大方面進入輔導過程，本文大致分享以國內醫療機構面臨機構建築設備老舊維護困難，在既有建築物空間規劃設計上，防災及疏散因應措施相較薄弱，如何以合宜的因應措施及編列合理改善預算，提升環境安全及災害應變能力，保障人員安全與健康，維持醫療正常營運及財產損害控管。\u0000 This manuscript shares the experience of participating in the “Environmental Safety Consultation Program” promoted by the Joint Commission of Taiwan. The program was guided by two domestic expert advisors and one international advisor from the Australian Council on Healthcare Standards International, focusing on three major aspects: emergency response plans, architecture and facilities, and management mechanisms. This manuscript broadly discusses how healthcare institutions in Taiwan, facing challenges with the maintenance of outdated buildings and facilities, and weak disaster prevention and evacuation measures due to existing architectural and spatial planning, can implement suitable response measures and allocate reasonable budgets for improvements. The goals are to enhance environmental safety and disaster response capabilities, ensure the safety and health of personnel, maintain normal medical operations, and manage property damage.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"253 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140270346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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