法學期刊
論著名稱: 建置早期警訊系統降低院內急救事件發生率
編著譯者: 徐愬美李文瑞楊淑貞林岳鴻吳協兆李昭賢
出版日期: 2019.01
刊登出處: 台灣/醫療品質雜誌第 13 卷 第 1 期 /48-53 頁
頁  數: 6 點閱次數: 175
關 鍵 詞: 早期警訊急救事件存活率
中文摘要: 背景:院內心跳停止(in-hospital cardiac arrest,IHCA)在事件發生前數小時會出現臨床症狀及生命徵象(Temperature , pulse ,Respiration,TPR)惡化現象,發展早期警訊系統(Early Warning System,EWS) 可及早提醒醫護人員病況改變,增進醫療照護成效。
目的:藉由早期警訊系統,幫助醫療團隊早期發現病情惡化並給予立即處置,以降低院內心跳停止發生率,以提升醫療照護品質,促進病人安全。
方法::建置「早期警訊系統」(EWS) 包含高危險病人早期警訊系統啟動標準及臨床運作流程。經內外科各一種子單位測試後,全院所有內、外科病房進行高危險病人早期警訊系統資訊化作業。結果:比較 2013 及 2014 年資料顯示院內急救事件發生人次由 75 人次降至 42 人次,院內急救事件發生人數與住院人數比由 2.44 降至 1.48,院內急救事件病人死亡率由 34.7% 上升至 42.9%,院內急救事件病人出院存活率由 27.9% 提升至 34.9%。
結論:透過早期警訊系統偵測及反應,讓醫護人員提早發現高危險病人,避免及減少因院內心跳停止導致之急救事件發生,降低醫護工作量及相關醫療費用支出。
英文關鍵詞: Early warning systemcardiopulmonary resuscitationsurvival
英文摘要: Background: Adverse events, such as in-hospital cardiac arrest, can be predicted through abnormal vital signs several hours before the events occur. Early warning systems (EWSs)can help medical professionals to identify significant changes in patients’ health status and thus improve health care quality. In addition, setting up EWSs may reduce the cardiopulmonary resuscitation (CPR)event rate and increase patient safety.
Methods: We established a early warning system (EWS) with early warning systems startup criteria and clinical operation process for high-risk patients . After testing each one internal and surgery unit. And all internal and surgical wards of the hospital was implemented of the early warning systems for high-risk patients.
Results: From 2013 to 2014, the number of patients receiving CPRdecreased from 75 to 42, CPR eventrate decreased from 2.44‰ to 1.48‰, mortality rate is increased from34.7% to 42.9%, and survival rate is increased from 27.9% to 34.9%.
Conclusion: EWSs reduced the CPR event ratebut increased the survival rate. Thus, EWSs can reduce healthcare professionals’ workload and medical costs and enhance medical carequality.
目  次: 前言
實施對象及方法
結果
結論
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