醫療品質雜誌Pub Date : 2024-01-01DOI: 10.53106/199457952024011801006
黃振彰 黃振彰, 顏妙如 顏妙如, 陳旭輝 陳旭輝, 沈玫秋 沈玫秋, 楊璦瑜 楊璦瑜
{"title":"建置小兒用藥極量檢核提升用藥安全專案","authors":"黃振彰 黃振彰, 顏妙如 顏妙如, 陳旭輝 陳旭輝, 沈玫秋 沈玫秋, 楊璦瑜 楊璦瑜","doi":"10.53106/199457952024011801006","DOIUrl":"https://doi.org/10.53106/199457952024011801006","url":null,"abstract":"\u0000 目的：小兒族群的藥品劑量主要以mg/kg計算，然而目前病人端缺乏完整體重資訊、警示系統未區分小兒與成人、藥品檔缺乏小兒極量資料。方法：運用品管圈問題解決型找出三項真因：劑量檢核邏輯不適用於小兒族群、未強制輸入身高體重、藥品主檔缺乏小兒極量設定，進而擬定對策。結果：小兒劑量過高的異常件數，改善前為2件，目標降至0件，改善後為1件。再介入：主因劑量計算後有時會微調成整數可能略高極量，因此現行警示訊息皆為提示。與臨床科共識，增設極量的1.1倍設為阻擋，追蹤至2023年7月未再有異常件數。結論：本次專案改善後成效良好推廣至體系醫院，共同提升小兒用藥安全，然而藥品品項繁多，尚需持續進行資料建檔以提供更全面的把關。\u0000 Objective: Pediatric dosages are primarily mg/kg-based. However, currently, patient records lack complete weight information, the alert system does not differentiate between pediatric and adult patients, and the drug database lacks pediatric maximum dosage data. Methods: Using a quality control circle problem-solving approach, we identified three root causes: dose checking logic not applicable to the paediatric population, not mandatory input of height and weight, and lack of paediatric limit settings in the drug master file. Subsequently, we formulated countermeasures. Results: The number of overdosage exceptions in children was 2 before improvement, and the target was reduced to 0 and 1 after improvement. Re-intervention: The main reason for this is that dose calculations are sometimes rounded to slightly higher extremes, and therefore the current warning messages are all alerts. In consensus with clinical departments, a 1.1-fold limit was added as a blocking measure and tracked to July 2023 with no further abnormalities. Conclusion: The improved results of this project will be extended to hospitals in the system to enhance the safety of paediatric drug use. However, as there are many different types of drugs, there is still a need to continue to build up data to provide more comprehensive gatekeeping.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"7 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139632024","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":"醫療事故預防及爭議處理法中的醫療事故關懷","authors":"沈若楠 沈若楠, 黃鈺媖 Ruo-Nan Shen, 陳文雯 Yu-Ying Huang, 王志嘉 Wen-Wen Chen","doi":"10.53106/199457952024011801003","DOIUrl":"https://doi.org/10.53106/199457952024011801003","url":null,"abstract":"\u0000 建立醫療事故發生時的院內即時溝通及關懷機制，是我國《醫療事故預防及爭議處理法》（以下簡稱：醫預法）的立法重點之一。本文從「事故關懷」概念的緣由和法制化過程出發，說明醫預法強調即時關懷作為醫療爭議解決方式的理由，再進一步探討醫預法在「說明、溝通與關懷」章節中，賦予醫療機構之重要義務以及實務作法，包括：組成關懷小組；提供說明、溝通、協助及關懷服務；時限內提供病歷複製本；以及對員工提供關懷與協助等。關懷機制的順暢運行，有助建立互信，緩和醫病緊張關係，避免演變成醫療爭議。\u0000 One of the legislative focuses of Taiwan’s Medical Accident Prevention and Dispute Resolution Act (hereinafter referred to as “the Act”) is establishing immediate in-hospital communication and care mechanisms when medical accidents occur. This article initially explored the origin and legalization of the concept of “medical accident care” to elucidate the reasons the Act emphasizes immediate care for resolving medical disputes. Furthermore, it delves into the significant obligations and practical methods imposed on medical institutions in the chapter “Description, Communication, and Care” of the Act, which includes organizing medical accident response groups; providing description, communication, assistance, and care services; providing copies of medical records timely; and offering care and assistance to employees. The smooth operation of these care mechanisms contributes to building mutual trust, mitigating the tension between patients and healthcare providers, and preventing the escalation of medical accidents into medical disputes.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"68 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139635316","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 : 2024-01-01DOI: 10.53106/199457952024011801008
王郁茗 王郁茗
{"title":"從人工生殖醫療中看見女性心理健康需求","authors":"王郁茗 王郁茗","doi":"10.53106/199457952024011801008","DOIUrl":"https://doi.org/10.53106/199457952024011801008","url":null,"abstract":"\u0000 本文探討不孕女性接受人工生殖醫療過程中面臨的心理挑戰。婦女在這過程中不僅承受身體上的壓力，還面臨來自家庭、社會的期望和壓力。這些壓力來源包括治療的不確定性、財務負擔、以及對成為母親角色的擔憂。文中強調提供「心理諮商」和「支持」對於這些婦女的重要性，特別是在多次治療失敗後更需要關懷。人工生殖醫療即便成功懷孕，婦女也可能對孩子的成長發育有較高的擔憂，進而影響她們的心理健康。因此，綜合性的心理健康支持對於接受人工生殖醫療的女性來說至關重要。\u0000 This study investigated the mental challenges faced by women with infertility undergoing assisted reproductive treatment. Women undergoing such treatment endure not only physical stress but also familial and societal pressure. The sources of these stress and pressure include treatment uncertainties, financial burdens, and concerns about assuming the role of a mother. This study underscored the importance of providing psychological counseling and support to these women, particularly after multiple treatment failures. Also, even with successful pregnancy through assisted reproductive medicine, women may harbor heightened concerns about their children’s growth and development, thereby affecting their mental health. Therefore, comprehensive psychological health support is vital for women undergoing assisted reproductive treatment.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"64 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139538852","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":"醫療事故預防及爭議處理法—重大醫療事故通報機制","authors":"洪聖惠 洪聖惠, 詹碧端 Sheng-Hui Hung, 黃嘉立 黃嘉立, 賴怡帆 Jia-Li Huang","doi":"10.53106/199457952024011801004","DOIUrl":"https://doi.org/10.53106/199457952024011801004","url":null,"abstract":"\u0000 醫療事故預防及爭議處理法（以下簡稱醫預法）業於2023年6月經總統公布制定，於2024年1月1日實施。衛生福利部（以下簡稱衛福部）積極與各界專家共同研商子法規與相關配套措施之準備，以建立完善「非訟化」之醫療爭議處理機制，並進而從中進行事故分析學習、改善及預防再發生。因應醫預法之強制性通報作業，除參考過去臺灣病人安全通報系統之統計分析紀錄，並借鏡英、美、澳等先進國家對重大醫療事故之定義及通報制度，以制訂本國之相關作業辦法。本文將進行重大醫療事故之通報定義及相關作業流程做說明，機構除主動進行通報外，內部應進行根本原因分析、檢討與改善，落實系統性除錯，以維護病人安全。\u0000 The Medical Accident Prevention and Dispute Resolution Act was promulgated by the President of Taiwan and implemented on January 1, 2024. The Ministry of Health and Welfare has proactively discussed sub-regulations together with experts from various fields and formulated relevant supporting measures to establish a comprehensive non-contentious medical dispute resolution mechanism. Based on the mechanism, accident analyses have been conducted to learn from past accidents, make improvements, and prevent other accidents from happening in the future. In response to the mandatory report operation in the aforementioned act, statistical analysis records on the patient safety report system in Taiwan as well as definitions and reporting systems of major medical accidents in developed countries, such as Great Britain, the United States, and Australia, have been referenced to device relevant operations and regulations in Taiwan. This study explained definitions regarding the reporting of major medical accidents and related operating procedures. In addition to the voluntary reporting of accidents, medical care institutions shall analyze the fundamental causes of these events, conduct internal cause analysis, and conduct reviews and improvements to achieve systematic error removal and maintain patient safety.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"46 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139540072","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":"運用ADDIE模式提升護理人員職場暴力應變能力","authors":"何怡慧 何怡慧, 蔡靜宜 蔡靜宜, 黃云菡 黃云菡, 林采蓉 林采蓉, 蔡素華 Tsai-Rung Lin, 陳立樺 陳立樺","doi":"10.53106/199457952024011801005","DOIUrl":"https://doi.org/10.53106/199457952024011801005","url":null,"abstract":"\u0000 職場暴力近年來已成為醫療機構極為重視之議題，不僅造成醫護人員身心靈受創，甚至影響照護品質。本專案旨在運用ADDIE模式，包含分析、設計、發展、實施及評值五大步驟以提升護理人員職場暴力應變能力，運用「職場暴力處置行為正確率查檢表」及職場暴力處置「自我效能量表」進行資料收集，發現職場暴力處置行為正確率僅56.8%，因應職場暴力自信程度僅4.8分，改善措施包含辦理課室在職教育、設計口訣、製作防暴小卡、規畫「自衛防暴力編組」職責，擬定職場暴力應變演練腳本並實地演練，措施介入後，職場暴力處置行為正確率由56.8%提升至97.4%，護理人員因應職場暴力之自信程度由4.8分上升至6.7分，顯示此方案有助於提升護理人員面對職場暴力之自我效能及處置應變能力。\u0000 Workplace violence (WPV) is a serious challenge facing health-care workers. This project used the Analysis, Design, Development, Implementation, and Evaluation model to train nursing staff to handle WPV. This study employed a “WPV Response Checklist” and a “Handling WPV Self-Efficacy Scale” to collect data on nurses’ responses to WPV. The data revealed that before training, the nurses responded to WPV appropriately in only 56.8% of cases, despite them giving their self-efficacy to handle WPV a score of 4.8 out of 10. After collecting the initial data, we provided in-service training, general tips for dealing with violence, a portable card, and WPV drills. The intervention was effective. After the intervention, the percentage of appropriate responses to WPV increased to 97.4%, and self-efficacy scores increased to 6.7 out of 10.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"18 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139631510","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 : 2024-01-01DOI: 10.53106/199457952024011801002
王志嘉 王志嘉
{"title":"淺談醫預法下的醫療爭議調解制度","authors":"王志嘉 王志嘉","doi":"10.53106/199457952024011801002","DOIUrl":"https://doi.org/10.53106/199457952024011801002","url":null,"abstract":"\u0000 本文首先介紹醫療事故預防及爭議處理法（醫預法）的背景、內容和重點，並比較了醫預法實施前後的醫療爭議訴訟外解決制度--和解與調解。醫預法採取「機構內關懷」與「機構外調解」的雙軌模式，並強調「調解先行」的原則，以調解取代訴訟的內涵，以促進醫病雙方的和解。由於醫預法的實施將對醫療爭議的處理帶來重大的改變，臨床醫事人員面對調解時應具備的專業素養，包括法律專業的支持、關懷調解的支持、適當的態度和溝通技巧等，這部分需要透過醫學教育的深耕始能達成。\u0000 This aritcle introduces the background, content, and key aspects of the Medical Accident Prevention and Dispute Resolution Act (the Act), comparing alternative dispute resolution (ADR), such as settlememt and mediation, for medical disputes before and after the implementation of the Act. The Act adopts a “dual-method” approach of “internal institutional care” and “external institutional mediation,” emphasizing mediation over litigations and fostering settlement between healthcare providers and patients. The implementation of the Act will bring significant changes to the handling of medical disputes, necessitating clinical healthcare personnel to possess professional mediation-related competencies, including legal expertise, care and mediation abilities, and appropriate attitude and communication skills. These competencies can be developed through medical education.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"4 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139635126","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 : 2024-01-01DOI: 10.53106/199457952024011801007
陳瑛瑛 陳瑛瑛
{"title":"長期照護機構感染管制計畫與指標監測","authors":"陳瑛瑛 陳瑛瑛","doi":"10.53106/199457952024011801007","DOIUrl":"https://doi.org/10.53106/199457952024011801007","url":null,"abstract":"\u0000 長期照護機構隨著高齡化社會的需求日愈增加，由於服務對象特性與機構環境因素，使得醫療照護相關感染和傳染性疾病群聚事件的發生具有高風險性；因此，照護機構實施預防感染計畫對於確保住民與工作人員安全且具有照護品質是非常重要的。本文主要描述建立感染管制計畫與選定指標；指標稽核與感染監測；感染監測重要機制與步驟包括監測計畫、資料收集、資料分析、闡釋感染率、訊息交流以及監測系統評值等面向，期冀提供參考與應用。\u0000 In the face of the increasing demands for long-term care as a result of aging population, longterm care facilities are confronted by the risks of healthcare- associated infections and infectious disease clusters because of the people they serve and their facilities’ environmental factors. Hence, implementing infection prevention planning is crucial for ensuring resident and healthcare staffrelated safety and care quality. This article mainly describes the establishment of infection control planning and indicators selection, indicators audit and infections surveillance, and implemented infection surveillance -associated critical mechanisms and steps including surveillance planning, surveillance data collection and analysis, infection rates interpretation, information communication, and evaluating surveillance systems, and expect to provide reference and application.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"92 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139538646","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 : 2024-01-01DOI: 10.53106/199457952024011801001
洪聖惠 洪聖惠, 謝亨如 Sheng-Hui Hung
{"title":"臺灣醫預法與國外醫糾處理及通報制度之比較","authors":"洪聖惠 洪聖惠, 謝亨如 Sheng-Hui Hung","doi":"10.53106/199457952024011801001","DOIUrl":"https://doi.org/10.53106/199457952024011801001","url":null,"abstract":"\u0000 目的：過去十多年以來，臺灣以鼓勵自願性通報(Taiwan Patient-safety Reporting system , TPR)作為提升病安文化的方式，在「醫療事故預防及爭議處理法」實施後，未來凡符合「重大醫療事故」定義者皆需進行法定通報，本文整理比較各國通報制度，作為臺灣實施之參考。結果：比較臺灣與各國之異同：臺灣病安通報發展模式與英國相近，先由自願性通報開始，發展至法定通報；澳洲由各地方政府自訂法定通報事項，其中Safer Care Victoria(SCV)的11類Sentinel Event (SE) 法定通報事件，可作為定義重大醫療事故(Never Events)時的參考，此外，澳洲由獨立單位負責根本原因分析調查，可作為臺灣推動之參考。結論：醫預法施行後仍需持續監測評估此一法定通報制度之成效，以達到預防及促進病人安全之目的。\u0000 Purpose: In Taiwan, over the past ten years, voluntary reporting (Taiwan Patient-safety Reporting system (TPR)) was encouraged as the strategy to improve the culture of patient safety. After the implementation of \"\" Medical Accident Prevention and Disputes Resolution Act\"\", any incidence meets the definition of \"\"Never Events\"\" will be subject to Mandatory Reporting System in the future. What will be the expected effects of changing this reporting system on improving medical quality and promoting patient safety? By comparing the reporting systems among countries will serve as the reference for Taiwan after implementation. Research methods: \"\"Document analysis\"\" and \"\"comparative study\"\" will be applied for this article. Result: To compare the discrepancy between Taiwan and the other countries, refer to the following: The development of Taiwan’s patient safety reporting system is similar to the model of the United Kingdom, gradually developing from voluntary to mandatory reporting; in Australia, local governments can define their own items for mandatory reporting, among which the 11 types of mandatory reporting Sentinel Event (SE) of Safer Care Victoria (SCV) can be used as the reference for the definition of Never Events, in addition, Australia has an independent unit responsible for Root Cause Analysis (RCA), which can be also used as the reference for Taiwan to promote RCA after the implementation of Medical Accident Prevention and Disputes Resolution Act. Conclusion: After the official implementation of Medical Accident Prevention and Disputes Resolution Act, it is necessary to continuously monitor and evaluate the effectiveness of this Mandatory Reporting system to establish the culture of patient safety in our country.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"347 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139635765","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 : 2023-07-01DOI: 10.53106/199457952023071704008
陳星助 陳星助
{"title":"建立醫院防火安全機制：現狀、預防和未來趨勢","authors":"陳星助 陳星助","doi":"10.53106/199457952023071704008","DOIUrl":"https://doi.org/10.53106/199457952023071704008","url":null,"abstract":"\u0000 由於醫院主要照護行動較為不便的病患，因此醫院的防火安全至關重要，為了確保醫院的安全，防火措施和安全設施的建構變得迫切重要。本文將探討防火安全對醫院的重要性，以及如何運用軟體設計的改善來提升火災的減災預防、準備、應變、復原相關危機管理計畫與緊急應變措施，透過硬體設施來建構有效防火區劃及適宜的逃生疏散動線，並且彙整醫院評鑑相關防火基準主要訪查輔導內容，作為各醫院規劃消防安全整體計畫的參考。最後提出防火安全未來可能的發展趨勢，期望透過各面向的建議，提升醫院照護環境安全政策、目標、計畫，人員教育訓練等規劃參考，以確保提升醫院防火消防之能力，保障員工、訪客與病人之安全。\u0000 Fire safety measures and facilities are crucial component of hospitals, which are frequently visited by patients with reduced mobility. Given the importance of safety systems in hospitals, this study explored the crucial role of fire safety in hospitals and the implementation of software improvement for enhancing crisis management and measures related to fire disaster prevention, preparedness, response, and recovery. Deployment of hardware facilities was examined to achieve effective fire zoning and devise appropriate escape and evacuation route plans. Records of interviews and consultations on hospital evaluations related to fire safety standards were compiled to provide referential information for hospital administrators to create a fire safety master plan. Finally, the potential future development trend of fire safety was discussed from various perspectives to improve policies, goals, plans, and personnel education related to hospital safety. This in turn safeguards the safety of hospital staff, visitors, and patients.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125418410","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 : 2023-07-01DOI: 10.53106/199457952023071704010
張浩峰 張浩峰, 施秋蘭 施秋蘭
{"title":"數位科技環境醫護人員職場性別權益維護","authors":"張浩峰 張浩峰, 施秋蘭 施秋蘭","doi":"10.53106/199457952023071704010","DOIUrl":"https://doi.org/10.53106/199457952023071704010","url":null,"abstract":"\u0000 數位科技發展迅速，增加民眾生活的便利性、擴展資訊與學習的無限性、縮短人際互動距離、豐富生活，物聯網或科技裝置於醫療場域及照護器材的使用更是日益普及。然而，數位科技及網路的發達，也使有心人藉由網路、資訊媒介或數位環境而產生的網路跟蹤、監視、騷擾、蒐集、窺視、貶抑、威脅等新興性別暴力樣態多元、層出不窮，對隱私權、人身安全造成巨大衝擊、傷害，更對社會產生廣泛的影響。在醫療照護場域中，因疾病、創傷等需要被照護者，受專業醫療或護理人員之專業悉心照護後而心生敬慕、追求甚或追蹤騷擾之案件並非少見，尤其醫護照護體系現仍以女性為多的情形下，認識數位網路科技帶來的性別暴力議題、維護醫護人員職場及生活中性平權益、專業尊嚴，實值重視，亦是醫護職場安全的重要指標之一。\u0000 The rapid advancement of digital technology has increased the convenience of people’s daily living, expanded the possibilities of information and learning, shortened the distance between people in interpersonal interactions, and enriched people’s lives. The Internet of Things and technological devices have been increasingly applied in medical settings and equipment. However, people with bad intentions have inflicted various forms of gender-based violence using Internet, media, or digital environment, including cyberstalking, monitoring, harassment, collecting personal information, voyeurism, disparagement, and threatening, causing serious damage to privacy and personal safety and affecting society broadly.Incidents of patients admiring, pursuing, or even stalking and harassing healthcare professionals after receiving their care are not uncommon, particularly under the circumstance that most nursing professionals are women. Understanding the issues of gender-based violence brought about by digital and Internet technologies and safeguarding the gender equality and dignity of healthcare professionals at work and in life are critical for maintaining the safety of healthcare workplaces.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"132 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122902795","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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