醫療品質雜誌最新文献

{"title":"應用智慧科技提升藥事作業","authors":"陳佩欣 陳佩欣, 林志昇 Pei-Hsin Chen, 姚曼麗 Chih-Cheng Lin, 陳智芳 Man-Lih Yao","doi":"10.53106/199457952023031702008","DOIUrl":"https://doi.org/10.53106/199457952023031702008","url":null,"abstract":"\u0000 以跨產業導入「冷藏智慧藥櫃」，運用自動販賣機的概念及智慧藥櫃功能，藥師刷讀取處方箋條碼後藥品可精準計量且自動出藥，系統會自動更新庫存量，並進行藥品追蹤、清點及補藥通知。活動成果可顯著降低調劑錯誤率、改善藥品庫存管理，但問卷調查顯示對冷藏智慧藥櫃整體的滿意度偏低，整體而言，對於冷藏智慧藥櫃的設置及設計是可以再改進。\u0000未來新型冷藏智慧藥櫃可適用如疫苗、生物製劑，以便藥品批號追溯等為佳，其應用場景可考量於門診針劑藥局、健兒疫苗藥局、急診藥局等。\u0000 A refrigerated automatic dispensing cabinet combines the concepts of a vending machine and automatic dispensing cabinets to accurately measure and automatically dispense medicine after pharmacists scan a prescription barcode. The system can also automatically track and renew inventory and send notifications when a refill is needed. These functions drastically decrease the rate of dispensing errors and improve inventory management. However, the results of the survey used in this study indicated low satisfaction with the refrigerated automatic dispensing cabinet. Thus, the application and design of the refrigerated automatic dispensing cabinet still have room for improvement.\u0000The novel refrigerated automatic dispensing cabinet can be used in outpatient, pediatric vaccination, and emergency department pharmacies to track the batch number of medicines such as vaccines and biologic agents\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132974766","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":"新冠病毒(SARS CoV-2)大流行期間兒童病房之感染管制措施","authors":"吳秉昇 吳秉昇","doi":"10.53106/199457952023031702009","DOIUrl":"https://doi.org/10.53106/199457952023031702009","url":null,"abstract":"\u0000 新冠病毒(SARS CoV-2) Omicron變異株於兒童族群感染具有高病毒量及高傳染性，且臨床症狀與其他秋冬常見之呼吸道病毒感染類似，加上兒童非藥物介入措施(non-pharmacological interventions, NPI)順從性及疫苗接種率低，若無適當之感管措施，容易於兒童病房中造成群聚感染。兒科病房COVID-19群突發事件常發生於社區流行高峰時期，可能造成住院之高風險兒童出現重症，亦可能引起醫護人員感染，並導致醫療照護人力不足。預防兒童病房COVID-19群聚感染，除包括全院規範之感染措施外，另須特別加強住院時病人全面篩檢、醫療人員個人防護裝備選擇（尤其是眼睛黏膜保護）、減少不必要的氣溶膠產生之醫療處置及加強環境清消。而一旦於病房發現確診個案，亦需在第一時間進行隔離措施、流行病學調查及健康管理。具風險因子之兒童若有必要應盡速給予抗病毒藥物治療，並注意重症之危險徵兆。\u0000 Compared with prior variants, the SARS-CoV-2 Omicron variant causes high viral loads and high infectivity in the pediatric population. However, the clinical manifestations of COVID-19 in children are similar to those caused by other respiratory viruses. Besides, poor non-pharmacological interventions (NPI) compliance and low vaccination coverage in the pediatric population also contributed to the magnitude of the COVID-19 outbreak in Taiwan. Outbreaks of COVID-19 in pediatric wards might spread to the rest of the community, contribute to severe symptoms in children with underlying comorbidities, and infect healthcare workers leading to inadequate healthcare staffing. In addition to universal infection control measures, the infection control bundle for COVID-19 in pediatric wards should include measures such as universal screening for SARS CoV-2 before admission, provision of proper personal protection equipment (especially eye protection) of healthcare workers, minimization of the unnecessary aerosol generation procedures, and enforcement of environmental sanitization. If a new COVID-19 case is detected in the ward, it should be epidemiologically investigated, and the patient should be immediately quarantined and monitored. Children with comorbidities should be prescribed antiviral treatment and receive close monitoring for severe manifestations of COVID-19.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123458778","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":"建構視訊評鑑機制的挑戰和機遇─JCI經驗","authors":"吳佳敏 吳佳敏, 方惠珊 方惠珊, 蔡宏隆 Hui-Shan Fang, 童敏哲 童敏哲, 許弘毅 Min-Zhe Tung, 鄭博文 Hung-Yi Hsu, 連啟勛 Bor-Wen Cheng","doi":"10.53106/199457952023031702005","DOIUrl":"https://doi.org/10.53106/199457952023031702005","url":null,"abstract":"\u0000 臺灣醫院評鑑於COVID-19疫情期間停辦三年，本專案以JCI (Joint Commission International)評鑑經驗重新設計作業流程，改變既有模式，建構視訊評鑑機制，讓病人權益與醫療服務品質可持續性接受外部監測。\u0000經訪談利益關係人確認關鍵問題點，包括軟體、硬體、經費、人力、資源分配五大面向，領導階層決定突 破傳統限制，創臺灣醫療同業先例，採行全面視訊進行評鑑。開發團隊執行四大解決方案：1.5G、4G、WiFi 6聯合佈局；2.創新設計輕便型視訊推車；3.融合視訊分群分組功能；4.提供完整教育訓練與現場模擬演練。\u0000於2020年12月28日至2021年1月1日連續五天，以全視訊完成JCI評鑑，促成醫療人員及評鑑委員間有效溝 通，運用科技方式跨越距離、減少不必要接觸，獲得國際肯定；期待此專案提供制訂評鑑政策之參考，帶動轉化臺灣醫療評鑑模式，未來不再受疫情的影響。\u0000 Hospital accreditation in Taiwan was postponed for three years due to the COVID-19 pandemic. This project redesigned the operation process of undergoing accreditation with the experience of the Joint Commission International (JCI) accreditation and reorganized the existing model to allow for video accreditation. Stakeholder interviews were conducted to identify potential problems in the video accreditation process, such as problems with software, hardware, funding, human resources, and resource allocation. The development team implemented four solutions: (1) using 5G, 4G, and Wi-Fi 6 together, (2) designing innovative video carts, (3) developing a group video function, and (4) conducting educational training and continuous simulation exercises. From December 28, 2020, to January 1, 2021, we conducted JCI accreditation through video surveys and promoted effective communication between medical staff and the accreditation committees. This project can provide a reference for the development of accreditation policies and lead to the transformation of Taiwan’s healthcare accreditation system so that it will be better equipped to handle future pandemics.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131684203","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":"臺灣多元性別健康差距與文化照護需求","authors":"王雅青 王雅青","doi":"10.53106/199457952023031702010","DOIUrl":"https://doi.org/10.53106/199457952023031702010","url":null,"abstract":"\u0000 多元性別群體擁有獨特的生理與心理健康議題以及其特殊健康需求。臺灣為亞洲地區同志議題開放國家，更在2019年5月通過同性婚姻法案，然而在多元性別群體健康促進、健康需求與文化照護探討與實務上較為侷限。雖然臺灣醫護人員或相關醫護學生對於多元性別群體持正向態度並具有高度意願提供群體照護，醫護人員或學生對於多元性別文化照護知識與技能較為缺乏，建議醫護教育課程與繼續教育課程納入多元性別文化照護知識與技巧訓練，藉以提升多元性別文化照護品質並降低多元性別群體健康差距。\u0000 Sexual and gender minorities have been shown to have specific physical and mental health issues and needs. Same-sex marriage was legalized in Taiwan in May 2019, and sexual and gender minorities are becoming increasingly visible in Taiwanese society. Taiwanese healthcare providers and students hold positive attitudes toward sexual and gender minorities and have a high willingness to provide culturally competent care for sexual and gender minority populations. However, these providers and students often lack the knowledge and skills necessary to provide such care. Offering relevant coursework for healthcare students and continuing education courses for healthcare providers could improve the quality of culturally competent care and reduce health disparities among sexual and gender minorities in Taiwan.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"357 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132995759","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":"2022年國家醫療品質獎特優機構─高雄長庚紀念醫院追求創新卓越的醫療品質：注重品質管理與病人安全零錯誤","authors":"王慧卿 王慧卿, 郭美玲 Hui-Ching Wang, 吳承誌 Mei-Ling Kao, 莊柏羣 Cheng-Chih Wu, 張永達 Po-Chun Chuang, 林新景 Yung-Ta Chang, 江明珠 Hsin-Ying Lin, 林偕益 林偕益, 林志宏 林志宏, 龔嘉德 龔嘉德, 李建德 李建德, 王植熙 王植熙","doi":"10.53106/199457952023031702002","DOIUrl":"https://doi.org/10.53106/199457952023031702002","url":null,"abstract":"高雄長庚紀念醫院創立於1986年，深耕南臺灣37年，從專業走向卓越，重視醫療品質；以王創辦人「要做就做最好的」為共同目標，自2003年開始參與財團法人醫院評鑑暨醫療品質策進會（以下簡稱醫策會）主辦「NHQA國家醫療品質獎」，19年期間屢獲佳績，2016年榮獲醫策會國家醫療品質獎頒發智慧醫療（Smart Hospital）全機構標章，近年連續獲得「醫品標竿獎」、「熱心分享獎」、「防疫貢獻獎」、「實證醫學類持續參與特別獎」、「主題類深耕品質獎」，更獲得3項「卓越中心」獎項，於2022年榮獲「特優機構」獎項。\u0000本院在院長、副院長、執行長等領導下，全員投入持續改善，整合教學、研究、辯論與知識轉譯等多元面向的發展，體現實證醫學於提升醫療品質之價值；透過高擬真情境訓練增強臨床知識、專業精神、決策能力和信心，確保病人的品質和安全；超前部署精進創新，打造屬於高雄長庚之專業品牌形象。追求品質永無止盡，需要實事求是、追根究柢，以展現卓越之價值與提供卓越的醫療服務。\u0000 Founded in 1986, the Kaohsiung Chang Gung Memorial Hospital has rooted its operation in Taiwan to pursue professionalism and excellence while focusing on healthcare quality over the past 37 years. The common goal set by Yung-Ching Wang, the founder of the Hospital, for all staff members is to complete every task to the best of their ability. The Hospital began participating in the National Healthcare Quality Award launched by the Joint Commission of Taiwan (JCT) in 2003 and has received multiple awards. Notably, the Hospital received the Smart Hospital Award - Whole Institution from JCT in 2016. It proceeded to win the Healthcare Benchmark Award, Experience Sharing Award, Pandemic Prevention Contribution Award, Special Award for Continual Participation in Evidencebased Medicine, and Special Theme Quality Awards consecutively in recent years, in addition to receiving three Excellent Center awards. In 2022, the Hospital won the Distinguish Institution Award. Under the leadership of the superintendent, deputy superintendent, and chief executive officer, all members of the Hospital continue to improve every aspect of its operation and ensure multifaceted development in the areas of medical education, research, debates, and knowledge translation, thereby highlighting the value of evidence-based medicine in improving healthcare quality. Hospital staff also participate in high-fidelity simulation to ensure patient care quality and safety by enhancing their clinical knowledge, professionalism, decision-making ability, and confidence. Relevant strategies have been deployed in advance to create a professional brand image for the Hospital, which continues to pursue outstanding healthcare quality, seek truth from facts, foster adequate values, and provide excellent healthcare services.","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129085214","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":"組合式照護治療模式─提升慢性阻塞性肺病醫療照護品質","authors":"鄭世隆 鄭世隆, 林慶雄 Shih-Lung Cheng, 林孟志 Ching-Hsiung Lin","doi":"10.53106/199457952023031702007","DOIUrl":"https://doi.org/10.53106/199457952023031702007","url":null,"abstract":"\u0000 慢性阻塞性肺病(chronic obstructive pulmonary disease, COPD)是一種慢性呼吸道發炎且不可逆性的疾病。2021年慢性下呼吸道疾病在十大死因中排名第8位，依據健保資料庫研究顯示，COPD人急性發作住院的死亡率為4%，平均醫療費用約為新台幣9萬1千餘元，造成70歲以下生命年數損失約11年，這些證據均顯示 COPD影響國人健康甚鉅。2017年由衛生福利部開辦全民健康保險慢性阻塞性肺病醫療給付改善方案，依照台灣胸腔暨重症加護醫學會所制定的照護指引，開始有計畫的積極治療與收案；同時財團法人醫院評鑑暨 醫療品質策進會（簡稱醫策會）也在2017年開辦「慢性阻塞性肺病照護品質認證」，於各醫療機構推行此 疾病認證，目的皆在於提升COPD治療的照護品質，藉由建構組合式照護治療模式，來提升醫療照護品質。\u0000 Chronic obstructive pulmonary disease (COPD) is a chronic and irreversible respiratory inflammation disease. In 2021, chronic lower respiratory diseases were ranked as the 8th leading cause of death in Taiwan. According to research using the National Health Insurance Research Database, acute exacerbation of COPD has a mortality rate of 4%, results in average annual medical expenses of approximately NT$91,000 per patient, and leads to numerous symptoms and complications. In 2017, the Ministry of Health and Welfare launched the National Health Insurance COPD Medical Payment Improvement Program by the guidelines of the Taiwan Society of Pulmonary and Critical Care Medicine (TSPCCM) and began developing plans for active patient enrollment and treatment. The Joint Commission of Taiwan (JCT) also launched the “Disease Specific Care - Chronic Obstructive Pulmonary Disease (DSC-COPD)” certification program in 2017 and certified many medical institutions in an effort to improve the quality of COPD care. In this paper, we summarize the series of plans created by the TSPCCM, JCT, and COPD-certified medical institutions that can be used to develop a combined care and treatment model for COPD.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121256118","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":"2022年國家醫療品質獎卓越中心─高雄長庚紀念醫院品質管理中心當責品質管理創新卓越團隊","authors":"陳秀玲 陳秀玲, 林新景 林新景, 郭美玲 Hsin-Ying Lin, 王慧卿 Mei-Ling Kao, 韓邱萍 Hui-Ching Wang, 林麗君 Chiu-Ping Han, 楊爵蓮 楊爵蓮, 張純評 張純評, 李建德 Chun-Ping Chang","doi":"10.53106/199457952023031702004","DOIUrl":"https://doi.org/10.53106/199457952023031702004","url":null,"abstract":"\u0000 高雄長庚紀念醫院品質管理中心以「創新品質與病人安全管理專業」運用「資訊智能資源整合」發展「卓越醫療品質特色」等成果，榮獲2022年第23屆國家醫療品質獎―卓越中心之殊榮。中心核心團隊發展專業特色如：「智能指標管理，做為高層決策之依據」、「建立病安通報系統，確保病人安全」、「研發醫病共享決策(Shared Decision Making, SDM)輔助工具，創立國際中文版翻譯」、「開發急性腎損傷(acute kidney injury, AKI)智能照護系統」、「營造優質病安文化」、「積極人才培育專業證照」等，引領全院進行跨領域專業多元合作，提供最高品質的醫療服務。榮獲「卓越中心」象徵本院為實現正向醫品病安文化價值，全方位提升醫療品質及病人安全成效之肯定，期望藉此經驗分享，引領同儕，追求更卓越的醫療品質。\u0000 The center of quality management, Kaohsiung Chang Gung Memorial Hospital has utilized its innovation and professionalism in quality and patient safety management to facilitate smart information and resource integration, achieving outstanding healthcare quality. In 2022, these achievements enabled the center to win the 23rd National Healthcare Quality Award in the Excellent Center category. The core management team of the center has developed the following professional features: smart index management for providing referential data to hospital executives when making decisions; establishing a patient safety report system to ensure the safety of all patients; developing the patient decision aids (PDAs) for shared decision making (SDM) and translating the international PDAs into Mandarin Chinese version; developing an acute kidney injury care system; fostering adequate patient safety culture; and promoting talent cultivation and professional certification. The center guides the entire hospital staff to participate in interdisciplinary collaboration to provide healthcare services of the highest quality. Winning the Excellent Center Award signifies approval of the efforts made by the hospital to promote positive healthcare culture and values through enhancing every aspect of healthcare quality and patient safety. By sharing its experience, the center hopes to play a leading role in the healthcare industry and help other institutions strive for excellent healthcare quality.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115098045","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":"2022年國家醫療品質獎特優機構─高雄市立小港醫院精實營造機構醫療品質文化","authors":"曾瓊儀 曾瓊儀, 蔡曉雯 蔡曉雯, 黃慧茹 Hsiao-Wen Tsai, 鍾詠全 Hui-Ru Huang, 黃柏堯 黃柏堯, 郭嘉于 郭嘉于, 陳永鴻 陳永鴻","doi":"10.53106/199457952023031702003","DOIUrl":"https://doi.org/10.53106/199457952023031702003","url":null,"abstract":"\u0000 小港醫院委由高雄醫學大學經營，已深耕南高雄地區24年，本院秉持「服務、品質、效率」的精神，以「全面品質管理」的概念，建構全院各科室醫療品質經營策略，積極營造院內品質改善風氣，培育單位醫品種子，建立激勵制度，鼓勵同仁的參與，並持續參加各類競賽，標竿學習他院且樹立典範。藉由實證醫學及擬真情境來輔助臨床作業，並結合創新醫療，提升醫療價值。\u0000醫療服務品質需要全院共同參與及推動，方能確保品質的卓越及精進，小港醫院秉持病人安全為第一及醫療品質提升為理念，深耕品質多年，努力給予民眾最優質的醫療品質及照護，盼成為最優質的「全人照護暨環境職業醫療特色醫院」。\u0000 Siaogang Hospital, which is under the management of Kaohsiung Medical University, has served southern Kaohsiung for 24 years. In the spirit of service, quality, and efficiency, Siaogang Hospital has established a healthcare quality management strategy based on comprehensive quality management to actively promote hospital-wide quality improvement and develop a cadre that is committed to the maintenance of healthcare quality. An incentive system has been established to encourage employee participation in competitions and in learning from other medical institutions and setting examples. Evidence-based medicine and high-fidelity simulation are introduced to support clinical operations, and these measures have also been integrated with innovative healthcare to create added value.\u0000The quality of healthcare services requires the joint effort of the entire hospital to improve and achieve excellence. For years, Siaogang Hospital has always strived to offer top-quality healthcare to the public in its quest to become a medical institution characterized by holistic care and environmental and occupational medicine.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121553493","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PDCA降低牙科尖銳物扎傷發生率","authors":"陳靜純 陳靜純, 黃文澤 Ching-Chun Chen","doi":"10.53106/199457952023031702006","DOIUrl":"https://doi.org/10.53106/199457952023031702006","url":null,"abstract":"\u0000 目的：降低牙科尖銳物扎傷，以提升安全的工作環境。方法：經專案小組重新修訂污染器械處理標準作業流程、舉辦在職教育、拍攝影片「照顧病患，更要保護 自己」宣導、調整洗牙器械擺放位置、制定標語口號「給我3分鐘，給你下一台」。結果：由改善前佔全院16.7%，改善後降低至0%，整體降低69.4%。結論：經實施對策後，能有效降低牙科尖銳物扎傷，將原有高風險環境再造改良後降低同仁傷害，日後仍需持續營造安全的工作環境。\u0000 Objective: To promote a safe workplace in hospital dentistry department by minimizing injuries caused by sharp objects. Methods: A task force revised the standard operating procedures for the handling of contaminated equipment and instruments, conducted on-the-job training, produced a promotional film titled “Caring for Patients, but Protecting Yourself,” rearranged the placement of dental cleaning instruments and tools in the clinic, and created the slogan “Give me three minutes, then the bench is yours.” Results: The sharp object injury incidence rate in the dentistry department dropped from 16.7% to 0%, resulting in a decrease of 69.4% in the overall hospital incidence rate. Conclusions: Following the interventions of this study, the number of sharp object injuries in the dentistry department was reduced, and the previously high-risk work environment was improved, which minimized staff exposure to hazards. Nevertheless, continuous efforts are necessary to foster a safe workplace.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124513404","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":"品質領航．國家榮耀","authors":"王拔群 王拔群","doi":"10.53106/199457952023031702001","DOIUrl":"https://doi.org/10.53106/199457952023031702001","url":null,"abstract":"<jats:p>\u0000 \u0000 </jats:p>","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129901538","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}