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dc.contributor翁慧卿 指導教授;賴慶松 指導教授
dc.contributor管理學院管理碩士在職專班
dc.contributor.author蘇欣瑩
dc.contributor.authorSu, Shin-Ying
dc.date.accessioned2019-10-22T12:05:09Z
dc.date.available2019-10-22T12:05:09Z
dc.date.created2016-09-05 23:37
dc.date.issued2013-08
dc.identifieroai:localhost:987654321/15988
dc.identifierhttp://ir.lib.isu.edu.tw/handle/987654321/15988
dc.identifier.urihttp://hdl.handle.net/20.500.12424/733884
dc.description.abstract[[abstract]]國內有關麻醉護理師之醫療錯誤行為調查非常少見,因此本研究目的為了解國內麻醉護理師醫療錯誤類型,進而探討影響麻醉醫療錯誤之相關因素,並依據研究結果對醫院管理者提出預防醫療錯誤之策略建議。 本研究以國內16家不同層級醫院之麻醉護理師為研究對象,以結構式自填問卷,採橫斷式調查。共計發放520份,回收455 份,回收率87.5 %,有效問卷回收434份,以2013年麻醉護理學會登記人數3155人為母群體,有效樣本佔13.75%。 麻醉護理師認為醫療錯誤之發生原因,病人因素最有可能者:以病人提供不完整或錯誤資訊;個人因素最有可能者:因疲倦(含輪班造成生理時差);組織因素最有可能者:人力不足。 發現醫療錯誤相關經驗(院內投訴、醫療糾紛、醫療訴訟)與醫療錯誤行為類型(醫療溝通、診斷/評估、執行程序)其錯誤分佈都是以 3 年以下發生頻率較多,其中醫療錯誤行為類型之醫療溝通隨年資增加而降低的現象不明顯。 研究結果顯示麻醉護理師之醫療錯誤行為類型不管自己或他人最常發生者為醫療團隊未清楚交班及交班不確實、移除氣管內管拔除時機判斷錯誤、牙齒損傷或唇舌損傷。且可經年資增加而減少,表示經驗值對醫療錯誤行為類型可有效幫助,其中醫療溝通問題並無隨年資增加明顯降低很多,以此本研究依臨床實務、政策面、學術面分別提出建議。 There are few surveys exploring medical errors of nurse anesthetists in Taiwan. This study aimed to clarify the types of medical errors in domestic nurse anesthetists, discover the predisposing factors which caused medical errors during anesthesia practice, and propose preventive recommendations to reduce their occurrence. Using, a cross-section investigation, this study was conducted by self-administered structured questionnaire of licensed nurses anesthetist who currently practiced and registered in 16 hospitals in Taiwan. Among total of 520 questionnaire copies, we totally received 455 samples with response rate of 87.5%. Finally, there were 434 valid surveys. 2013 anesthesia Nursing Association registration number 3155 were the population, the effective sample accounted for 13.75%. For nurse anesthetists, from viewpoints of patients, medical errors most frequently resulted from incompleteness of informations, inaccuracy of informations provided by patients and the complications of diseases orderly. From viewpoints of staffs, medical errors most frequently originated from fatigue due to night shifts, inadequate cognition about medical errors and failure to keep vigilent. From viewpoints of organizations, medical errors most frequently stemed from shortage of manpower, impaired communication within the healthcare team and overloaded job pressure. Among them, impaired communication, diagnosis/assessment and executive process most frequently occurred in the first three years of their career in either anesthetist nurses or their coworkers. Conversely communicative problems didn’t decrease as working seniority increased. The medical errors of nurse anesthetists, most frequently occurred in lack of explicit patient's information from the healthcare team members while shifting duty ;wrong timing to extubation ;dental or oral cavity injury. The results disclosed that the ""executive process"" and ""diagnostic/assessment"" events of medical errors made by nurse anesthetists decreased as years of working experiences increased, implyig that anesthetic experiences wouldn’t prevent medical errors. Contrarily “medical communication” events of medical errors didn’t decreased as years of working experience incareased. This study provided recommendations in clinical practice, policy formulation and academic research.
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dc.languageChi
dc.language[[iso]]en_US
dc.publisher碩士(Master)
dc.publisher管理學院管理碩士在職專班
dc.subject麻醉護理師;醫療錯誤行為
dc.subjectnurse anesthetists;medical error
dc.title醫療行為錯誤調查與歸因-以麻醉護理師為例
dc.typethesis
ge.collectioncodeOAIDATA
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ge.identifier.permalinkhttps://www.globethics.net/gtl/10276435
ge.lastmodificationdate2016-09-05 23:37
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