縮短心導管檢查前準備時間之改善專案

Abstract

背景： 心導管檢查是診斷心血管疾病及治療最常見的方法，若心導管檢查前的準備時間延長，相對影響急性冠心症（ACS）病人行經皮冠狀動脈（PCI）治療的時效。 目的： 專案實施後，透過跨團隊的方式縮短心導管檢查前準備時間。 解決方案： 藉由調整照胸部X光檢查時機、錄製心導管檢查之衛教影片、調整填寫心導管檢查同意書時機、制定心導管檢查前準備事項查檢表等措施，進而縮短心導管檢查前準備之時間。 結果評值： 經方案改善後，心導管檢查前準備時間由84分49秒縮短為34分24秒。 結論： 統整住院病人檢查流程，不僅可有效縮短護理人員的準備時間，亦可提升專業的醫療品質，本專案透過醫護之間的合作，不但能有效的改善工作效率，更能獲得病人家屬對於醫護的讚許。  Background: Cardiac catheterization is the most common method to diagnose and to treat cardiovascular diseases. The preparation time for cardiac catheterization is crucial especially in performing Percutaneous Coronary Intervention (PCI) for Acute Coronary Syndrome (ACS). Purposes: This project attempts to find the factors that affecting the preparation time before cardiac catheterization through interprofessional collaborative. Methods: By adjusting the time of CXR examination, time for consent signed and video of health case education, the preparation time before cardiac catheterization can be reduced to improve the care quality. Results: After the designed procedure was properly performed, the preparation time before cardiac catheterization was reduced from 84 minutes and 49 seconds down to 34 minutes and 24 seconds by average. Conclusions: By integrating the examination process of the inpatients, this defined procedure in this study significantly reduced the preparation time and effectively improved the care quality of cardiac catheterization. Trough the cooperation between medical and nursing staff, this project not only improve the quality of care but also received appreciations from patients and their families.