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運用團隊資源管理降低住院高齡病人不當導尿管留置率
運用團隊資源管理降低住院高齡病人不當導尿管留置率
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運用團隊資源管理降低住院高齡病人不當導尿管留置率
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運用團隊資源管理降低住院高齡病人不當導尿管留置率
運用團隊資源管理降低住院高齡病人不當導尿管留置率

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運用團隊資源管理降低住院高齡病人不當導尿管留置率
運用團隊資源管理降低住院高齡病人不當導尿管留置率
Journal Article

運用團隊資源管理降低住院高齡病人不當導尿管留置率

2024
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Overview
背景:不當導尿管留置易造成多項併發症,不僅延長住院天數,甚至增加住院死亡率。本單位2022年6-10月不當導尿管留置率達44.6%,且導尿管相關泌尿道感染(catheter-associated urinary tract infection, CAUTI)密度平均為3.6‰(高於全國平均值)。經現況分析發現不當導尿管留置率高的導因為:醫護人員未警覺導尿管移除重要性、缺乏提醒導尿管留置工具、缺乏導尿管移除相關的標準作業流程、與照顧者不清楚導尿管留置的必要性。目的:降低不當導尿管留置率小於31%,且CAUTI密度平均值小於2.8‰。解決方案:運用團隊資源管理(team resource management)手法,透過領導、守望、互助、溝通,落實提醒導尿管留置機制、移除導尿管照護標準流程、移除導尿管後照護指引、與導尿管留置團體衛教。結果:不當導尿管留置率下降至16.7%,CAUTI平均值降至1.9‰。結論:本專案運用團隊資源管理手法,協同醫療人員、病人與家屬共同重視導尿管移除,能有效降低導尿管不當留置與CAUTI發生,以維護高齡病人安全。