Pub Date : 2024-07-01DOI: 10.53106/199457952024071804008
郭昭吟 郭昭吟, 黃淑玲 黃淑玲, 邱于容 Shu-Ling Hwang
本文旨在介紹台灣性別醫學發展。性別醫學在國際上是由醫學界人發起，台灣卻是由一群社會科學、公衛與護理學界的性別研究者開始發起，之後從中央公部門推動醫學研究納入性別分析與醫學教育融入性別觀點。經歷二十多年的努力，國防醫學院及三軍總醫院一群醫生於2022年9月27日成立「臺灣性別醫學學會」(TGMS)，其宗旨為促進臺灣性別醫學之發展。TGMS以舉辦國內外相關學術演講，以及運用季刊會訊，發表性別醫學文章等方式逐漸建立台灣性別醫學新知。已辦理三次全國活動，討論性別醫學在國際與臺灣的發展、性別醫學倫理、性別醫學研究指引、醫學教育、高血壓、紅斑性狼瘡、腦中風、老年醫學等等議題，啟發國內醫學領域對於性別醫學的瞭解及興趣。2023臺灣性別醫學學會年會特別邀請日本性差醫學學會(性差医学・医療学会) 秋下雅弘教授(Dr. Masahiro Akishita)，以及美國史丹佛大學（ Stanford University ）Pro. Londa Schiebinger演講。獲得許多醫學界人士參與。會訊目前已經出刊五期，共發表15篇精彩的性別醫學文章。獲得許多醫學界人士參與。會訊目前已經出刊五期，共發表15篇精彩的性別醫學文章。期待TGMS未來能促進台灣性別醫學的進步與創新，最終提高整體醫療質量和病患福祉。 This article examines the development of gender medicine in Taiwan. Internationally, gender medicine originated from the medical community, whereas in Taiwan, it was initiated by gender researchers from the social sciences, public health, and nursing fields. Subsequently, the central government promoted the integration of gender analysis into medical research and the incorporation of gender perspectives into medical education. On September 27, 2022, after more than two decades of effort, a group of doctors from the National Defense Medical Center and the Tri-Service General Hospital established the Taiwanese Association for Gender Medicine. The goal of this group was to advance gender medicine in Taiwan. The Taiwanese Association for Gender Medicine gradually established a body of knowledge in gender medicine in Taiwan by hosting academic lectures both domestically and internationally and publishing gender medicine articles in its quarterly newsletter. The association has organized three national events discussing various topics, including the development of gender medicine internationally and domestically, ethics in gender medicine, guidelines for gender medicine research, medical education, hypertension, lupus, stroke, and geriatric medicine. These events have sparked understanding and interest in gender medicine within the domestic medical field. In its 2023 annual meeting, the association invited distinguished speakers, including Dr. Masahiro Akishita from the Japan Society for Gender-Specific Medicine and Professor Londa Schiebinger from Stanford University. Evidently, the association is of interest to the medical community. To date, the association has published five issues of its newsletter, featuring 15 articles on gender medicine. The association aims to foster progress and innovation in gender medicine in Taiwan, ultimately enhancing overall medical quality and patient welfare.
{"title":"臺灣性別醫學的發展及展望","authors":"郭昭吟 郭昭吟, 黃淑玲 黃淑玲, 邱于容 Shu-Ling Hwang","doi":"10.53106/199457952024071804008","DOIUrl":"https://doi.org/10.53106/199457952024071804008","url":null,"abstract":"\u0000 本文旨在介紹台灣性別醫學發展。性別醫學在國際上是由醫學界人發起，台灣卻是由一群社會科學、公衛與護理學界的性別研究者開始發起，之後從中央公部門推動醫學研究納入性別分析與醫學教育融入性別觀點。經歷二十多年的努力，國防醫學院及三軍總醫院一群醫生於2022年9月27日成立「臺灣性別醫學學會」(TGMS)，其宗旨為促進臺灣性別醫學之發展。TGMS以舉辦國內外相關學術演講，以及運用季刊會訊，發表性別醫學文章等方式逐漸建立台灣性別醫學新知。已辦理三次全國活動，討論性別醫學在國際與臺灣的發展、性別醫學倫理、性別醫學研究指引、醫學教育、高血壓、紅斑性狼瘡、腦中風、老年醫學等等議題，啟發國內醫學領域對於性別醫學的瞭解及興趣。2023臺灣性別醫學學會年會特別邀請日本性差醫學學會(性差医学・医療学会) 秋下雅弘教授(Dr. Masahiro Akishita)，以及美國史丹佛大學（ Stanford University ）Pro. Londa Schiebinger演講。獲得許多醫學界人士參與。會訊目前已經出刊五期，共發表15篇精彩的性別醫學文章。獲得許多醫學界人士參與。會訊目前已經出刊五期，共發表15篇精彩的性別醫學文章。期待TGMS未來能促進台灣性別醫學的進步與創新，最終提高整體醫療質量和病患福祉。\u0000 This article examines the development of gender medicine in Taiwan. Internationally, gender medicine originated from the medical community, whereas in Taiwan, it was initiated by gender researchers from the social sciences, public health, and nursing fields. Subsequently, the central government promoted the integration of gender analysis into medical research and the incorporation of gender perspectives into medical education. On September 27, 2022, after more than two decades of effort, a group of doctors from the National Defense Medical Center and the Tri-Service General Hospital established the Taiwanese Association for Gender Medicine. The goal of this group was to advance gender medicine in Taiwan. The Taiwanese Association for Gender Medicine gradually established a body of knowledge in gender medicine in Taiwan by hosting academic lectures both domestically and internationally and publishing gender medicine articles in its quarterly newsletter. The association has organized three national events discussing various topics, including the development of gender medicine internationally and domestically, ethics in gender medicine, guidelines for gender medicine research, medical education, hypertension, lupus, stroke, and geriatric medicine. These events have sparked understanding and interest in gender medicine within the domestic medical field. In its 2023 annual meeting, the association invited distinguished speakers, including Dr. Masahiro Akishita from the Japan Society for Gender-Specific Medicine and Professor Londa Schiebinger from Stanford University. Evidently, the association is of interest to the medical community. To date, the association has published five issues of its newsletter, featuring 15 articles on gender medicine. The association aims to foster progress and innovation in gender medicine in Taiwan, ultimately enhancing overall medical quality and patient welfare.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"61 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141714929","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}
Pub Date : 2024-07-01DOI: 10.53106/199457952024071804007
李品慧 李品慧
結核病由結核分枝桿菌引起，透過空氣傳播，全球仍是重大公共衛生挑戰。根據WHO數據，2022年全球結核病例約有1,060萬，130萬人死亡。台灣2023年報告6630確診個案及457死亡案例。潛伏結核感染(latent tuberculosis infection, LTBI)指結核菌在體內休眠，不致病也不具傳染性，但可能轉為活動性結核病。診斷依賴皮膚測試或血液檢測，治療目的是防止未來發展為活動性病例。針對高風險族群進行LTBI治療是全球消除結核病目標的重要策略之一，如接觸者、HIV感染者、以及具發病高風險之潛在疾病者等。治療方式包括多種藥物處方，並需監測副作用。台灣政策已導入相關策略，以期達成2035年消除結核的目標。 Tuberculosis (TB) is a disease caused by infection with Mycobacterium tuberculosis. Transmitted through the air, TB remains one of the great challenges in global public health and infectious disease control. Latent TB infection (LTBI) refers to a state where TB bacteria survive in the body but remain dormant and inactive, not causing clinical symptoms such as cough, fever, weight loss, or night sweats; thus, LTBI is not contagious. However, untreated LTBI can later develop into active tuberculosis. The bacteria will begin to proliferate and cause disease-related symptoms. TB-related abnormalities may be detected through imaging checks such as X-rays even without obvious clinical symptoms. The World Health Organization estimates that about one-quarter of the global population has LTBI. Although most individuals with LTBI do not develop active TB in their lifetime, those with weakened immune systems, such as patients with HIV, diabetes, or on immunosuppressive drugs, and older adults with age-related immune decline, face a significantly increased risk of LTBI progressing to active TB. This article introduces the latest global and Taiwanese strategies and advancements in diagnosing and treating LTBI, aiming to enhance health-care workers’ understanding of LTBI treatment, thereby contributing to Taiwan’s goal of eliminating TB by 2035.
結核病由結核分枝桿菌引起，透過空氣傳播，全球仍是重大公共衛生挑戰。根據WHO數據，2022年全球結核病例約有1,060萬，130萬人死亡。台灣2023年報告6630確診個案及457死亡案例。潛伏結核感染（latent tuberculosis infection、ltbi)指結核菌在體內休眠，不致病也不具傳染性，但可能轉為活動性結核病。診斷依賴皮膚測試或血液檢測，治療目的是防止未來發展為活動性病例。針對高風險族群進行ltbi治療是全球消除結核病目標的重要策略之一，如接觸者、hiv感染者、以及具發病高風險之潛在疾病者等。治療方式包括多種藥物處方，並需監測副作用。 台灣政策已導入相關策略，以期達成2035年消除結核的目標。结核病（TB）是一种由结核分枝杆菌感染引起的疾病。结核病通过空气传播，是全球公共卫生和传染病控制领域的重大挑战之一。肺结核潜伏感染（LTBI）是指肺结核细菌在人体内存活，但处于休眠状态，不活动，不会引起咳嗽、发热、体重减轻或盗汗等临床症状；因此，LTBI 不具有传染性。然而，未经治疗的迟发性肺结核日后可能发展为活动性肺结核。细菌会开始增殖并引起与疾病相关的症状。即使没有明显的临床症状，也可以通过 X 光等影像学检查发现与结核病有关的异常。世界卫生组织估计，全球约有四分之一的人口患有迟发性肺结核。尽管大多数患有迟发性肺结核的人一生中都不会发展为活动性肺结核，但那些免疫系统较弱的人，如艾滋病患者、糖尿病患者或服用免疫抑制剂的患者，以及因年龄增长而导致免疫力下降的老年人，其迟发性肺结核发展为活动性肺结核的风险会显著增加。本文介绍了全球和台湾在诊断和治疗LTBI方面的最新策略和进展，旨在提高医护人员对LTBI治疗的认识，从而为台湾在2035年前消除结核病的目标做出贡献。
{"title":"潛伏結核感染診斷與治療簡介","authors":"李品慧 李品慧","doi":"10.53106/199457952024071804007","DOIUrl":"https://doi.org/10.53106/199457952024071804007","url":null,"abstract":"\u0000 結核病由結核分枝桿菌引起，透過空氣傳播，全球仍是重大公共衛生挑戰。根據WHO數據，2022年全球結核病例約有1,060萬，130萬人死亡。台灣2023年報告6630確診個案及457死亡案例。潛伏結核感染(latent tuberculosis infection, LTBI)指結核菌在體內休眠，不致病也不具傳染性，但可能轉為活動性結核病。診斷依賴皮膚測試或血液檢測，治療目的是防止未來發展為活動性病例。針對高風險族群進行LTBI治療是全球消除結核病目標的重要策略之一，如接觸者、HIV感染者、以及具發病高風險之潛在疾病者等。治療方式包括多種藥物處方，並需監測副作用。台灣政策已導入相關策略，以期達成2035年消除結核的目標。\u0000 Tuberculosis (TB) is a disease caused by infection with Mycobacterium tuberculosis. Transmitted through the air, TB remains one of the great challenges in global public health and infectious disease control. Latent TB infection (LTBI) refers to a state where TB bacteria survive in the body but remain dormant and inactive, not causing clinical symptoms such as cough, fever, weight loss, or night sweats; thus, LTBI is not contagious. However, untreated LTBI can later develop into active tuberculosis. The bacteria will begin to proliferate and cause disease-related symptoms. TB-related abnormalities may be detected through imaging checks such as X-rays even without obvious clinical symptoms. The World Health Organization estimates that about one-quarter of the global population has LTBI. Although most individuals with LTBI do not develop active TB in their lifetime, those with weakened immune systems, such as patients with HIV, diabetes, or on immunosuppressive drugs, and older adults with age-related immune decline, face a significantly increased risk of LTBI progressing to active TB. This article introduces the latest global and Taiwanese strategies and advancements in diagnosing and treating LTBI, aiming to enhance health-care workers’ understanding of LTBI treatment, thereby contributing to Taiwan’s goal of eliminating TB by 2035.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"349 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141691596","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}
鑒於風濕免疫中心照護的病人多為重大傷病及難治疾病，且易合併共病，如早發性心血管疾病、間質性肺病變及骨質疏鬆等，進而減低平均餘命及降低生活品質，因此亟需優質的跨領域團隊合作及持續的照護品質提升，方能達成全人照護目標。故風濕免疫中心參加第24屆醫策會國家醫療品質獎系統類卓越中心競賽，期待藉由外部評核來改善缺失及進行品質優化。 本中心自2016年成立以來，依據優質的醫療照護需求及嚴謹的全面品質要求，建置優質的跨領域醫療照護團隊及建立共同照護及轉介簡易流程，提供「病人至上」之創新與全方位醫療服務，並在選擇標靶藥物治療時，鼓勵病友參與醫療決策，因應2020年新冠疫情爆發，更著手建置醫療照護之雲端資訊系統，以達衛教無時限及醫病零距離。為能提升醫療照護品質，訂定具時效性的關鍵指標及優質照護相關的標準作業流程，並運用商業智慧進行品質監控及藉由PDCA手法進行改善。近五年來成效卓越，包括質量兼具的醫療照護品質、線上衛教高總數及高滿意度、提高風險藥物（標靶藥物）使用的安全性、及明顯提升病友的自我照護品質等。 Patients under the care of the Rheumatology and Immunology Center often experience severe and refractory diseases that are accompanied by comorbidities such as early-onset cardiovascular disease, interstitial lung disease, and osteoporosis, which reduce both life expectancy and quality of life. High-quality interdisciplinary teamwork and continuous improvement in care quality are required to achieve holistic patient care. Thus, the Rheumatology and Immunology Center participated in the 24th Joint Commission of Taiwan National Healthcare Quality Award for the Quality Improvement System category, aiming to use external evaluations to identify deficiencies and optimize quality. Since its establishment in 2016, the Rheumatology and Immunology Center has developed a high-quality interdisciplinary medical care team and established streamlined processes for collaborative care and referrals, meeting the demand for superior medical care and the rigorous requirements of total quality management. With a patient-first approach, the center provides innovative and comprehensive medical services and encourages patient participation in medical decisions, particularly in selecting targeted drug therapies. In response to the COVID-19 outbreak in 2020, the center also implemented a cloud-based medical care information system to achieve continuous health education and seamless doctor–patient communication. To enhance care quality, the center established timely key performance indicators and standard operating procedures related to high-quality care, using business intelligence for quality monitoring and the Plan-Do-Check-Act method for improvement. Over the past 5 years, the center has achieved remarkable results, including high-quality medical care, extensive online health education with high satisfaction rates, improved safety in the use of high-risk (targeted) medications, and significantly enhanced patient self-care quality.
{"title":"醫策會國家品質獎卓越中心:風濕免疫中心品質提升與成果分享","authors":"黃建中 黃建中, 張詩欣 Chien-Chung Huang, 黃柏豪 黃柏豪, 吳柏樟 Pai-Hao Huang, 楊凱介 楊凱介, 洪偉哲 洪偉哲, 藍忠亮 藍忠亮, 陳得源 陳得源","doi":"10.53106/199457952024071804002","DOIUrl":"https://doi.org/10.53106/199457952024071804002","url":null,"abstract":"\u0000 鑒於風濕免疫中心照護的病人多為重大傷病及難治疾病，且易合併共病，如早發性心血管疾病、間質性肺病變及骨質疏鬆等，進而減低平均餘命及降低生活品質，因此亟需優質的跨領域團隊合作及持續的照護品質提升，方能達成全人照護目標。故風濕免疫中心參加第24屆醫策會國家醫療品質獎系統類卓越中心競賽，期待藉由外部評核來改善缺失及進行品質優化。\u0000本中心自2016年成立以來，依據優質的醫療照護需求及嚴謹的全面品質要求，建置優質的跨領域醫療照護團隊及建立共同照護及轉介簡易流程，提供「病人至上」之創新與全方位醫療服務，並在選擇標靶藥物治療時，鼓勵病友參與醫療決策，因應2020年新冠疫情爆發，更著手建置醫療照護之雲端資訊系統，以達衛教無時限及醫病零距離。為能提升醫療照護品質，訂定具時效性的關鍵指標及優質照護相關的標準作業流程，並運用商業智慧進行品質監控及藉由PDCA手法進行改善。近五年來成效卓越，包括質量兼具的醫療照護品質、線上衛教高總數及高滿意度、提高風險藥物（標靶藥物）使用的安全性、及明顯提升病友的自我照護品質等。\u0000 Patients under the care of the Rheumatology and Immunology Center often experience severe and refractory diseases that are accompanied by comorbidities such as early-onset cardiovascular disease, interstitial lung disease, and osteoporosis, which reduce both life expectancy and quality of life. High-quality interdisciplinary teamwork and continuous improvement in care quality are required to achieve holistic patient care. Thus, the Rheumatology and Immunology Center participated in the 24th Joint Commission of Taiwan National Healthcare Quality Award for the Quality Improvement System category, aiming to use external evaluations to identify deficiencies and optimize quality.\u0000Since its establishment in 2016, the Rheumatology and Immunology Center has developed a high-quality interdisciplinary medical care team and established streamlined processes for collaborative care and referrals, meeting the demand for superior medical care and the rigorous requirements of total quality management. With a patient-first approach, the center provides innovative and comprehensive medical services and encourages patient participation in medical decisions, particularly in selecting targeted drug therapies. In response to the COVID-19 outbreak in 2020, the center also implemented a cloud-based medical care information system to achieve continuous health education and seamless doctor–patient communication. To enhance care quality, the center established timely key performance indicators and standard operating procedures related to high-quality care, using business intelligence for quality monitoring and the Plan-Do-Check-Act method for improvement. Over the past 5 years, the center has achieved remarkable results, including high-quality medical care, extensive online health education with high satisfaction rates, improved safety in the use of high-risk (targeted) medications, and significantly enhanced patient self-care quality.\u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"6 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141698877","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}
目的：本研究旨在設計早期安寧緩和療護線上溝通技巧訓練課程，並測試其對醫護人員溝通自信心及安寧準備度的效益。 方法：本研究為單盲實驗性研究，邀請腦神經科醫護人員參與，研究的病房被隨機分派至兩組，實驗組(n=53)醫護人員接受線上早期安寧緩和療護教育課程，控制組(n=60)則接受一般常規教育課程，於介入前及後一個月測量兩組溝通自信心及安寧準備度，以階層回歸分析。 結果：本研究發現實驗組醫護人員在溝通自信心(B=-5.456, p=0.341)及安寧準備度(B=-0.612, p=0.667)上，與控制組醫護人員並無不同。 結論：研究發現大部分醫護人員已具備早期安寧緩和療護觀念與行為，因此介入措施可改善的空間有限；但在COVID-19大流行期間，持續設計並提升線上教育課程的品質，是我們需要不斷努力的方向。 Purpose: This study aimed to develop an online early hospice palliative care (EHPC) communication skills training (CST) for healthcare personnel (HCP) and evaluate its effectiveness on HCP’s confidence in communication and preparation of palliative care. Methods: This was a single-blind experimental study. HCP of cerebral neurological departments were invited and randomly assigned to the intervention group (IG) (n=53) or control group (CG) (n=60) block by their wards, with the IG participating in online EHPC CST and the CG receiving regular in-service training. The outcomes of the confidence in communication and preparation of palliative care were collected before (T0) and immediately after intervention (T1). Hierarchical regression was used for data analysis. Results: This study found no significant differences in confidence in communication (B = -5.456, p = 0.341) and preparation of palliative care (B= -0.612, p = 0.667) between the IG and the CG. Conclusion: Most HCP in this study already have palliative referral perceptions and behaviors, so there is limited room for improvement in interventional measures. However, during the COVID-19 epidemic, researchers should continue to strive to revise and improve the quality of online education courses to promote early hospice palliative care.
{"title":"針對腦神經科醫護人員早期安寧緩和療護線上課程之效益","authors":"方基存 方基存, 陳思穎 陳思穎, 范伯辛 Szu-Ying Chen, 林雨萱 林雨萱, 高振益 高振益, 林仲志 林仲志, 唐婉如 唐婉如","doi":"10.53106/199457952024071804006","DOIUrl":"https://doi.org/10.53106/199457952024071804006","url":null,"abstract":"\u0000 目的：本研究旨在設計早期安寧緩和療護線上溝通技巧訓練課程，並測試其對醫護人員溝通自信心及安寧準備度的效益。\u0000方法：本研究為單盲實驗性研究，邀請腦神經科醫護人員參與，研究的病房被隨機分派至兩組，實驗組(n=53)醫護人員接受線上早期安寧緩和療護教育課程，控制組(n=60)則接受一般常規教育課程，於介入前及後一個月測量兩組溝通自信心及安寧準備度，以階層回歸分析。\u0000結果：本研究發現實驗組醫護人員在溝通自信心(B=-5.456, p=0.341)及安寧準備度(B=-0.612, p=0.667)上，與控制組醫護人員並無不同。\u0000結論：研究發現大部分醫護人員已具備早期安寧緩和療護觀念與行為，因此介入措施可改善的空間有限；但在COVID-19大流行期間，持續設計並提升線上教育課程的品質，是我們需要不斷努力的方向。\u0000 Purpose: This study aimed to develop an online early hospice palliative care (EHPC) communication skills training (CST) for healthcare personnel (HCP) and evaluate its effectiveness on HCP’s confidence in communication and preparation of palliative care.\u0000Methods: This was a single-blind experimental study. HCP of cerebral neurological departments were invited and randomly assigned to the intervention group (IG) (n=53) or control group (CG) (n=60) block by their wards, with the IG participating in online EHPC CST and the CG receiving regular in-service training. The outcomes of the confidence in communication and preparation of palliative care were collected before (T0) and immediately after intervention (T1). Hierarchical regression was used for data analysis.\u0000Results: This study found no significant differences in confidence in communication (B = -5.456, p = 0.341) and preparation of palliative care (B= -0.612, p = 0.667) between the IG and the CG.\u0000Conclusion: Most HCP in this study already have palliative referral perceptions and behaviors, so there is limited room for improvement in interventional measures. However, during the COVID-19 epidemic, researchers should continue to strive to revise and improve the quality of online education courses to promote early hospice palliative care.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"52 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141690041","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}
臺北榮民總醫院在醫療品質、病人安全、智慧醫療耕耘多年。除了例行的臨床服務和國家級醫學中心的任務外，臺北榮總另設有品質管理中心，以輔導各科部引入資訊科技技術，結合大數據分析與人工智慧，改善個醫療服務流程，提高醫院管理的透明度和效率，建構良好的病人安全文化。 2023年更獲得醫策會國家醫療品質獎傑出醫療類三座鑽石獎的殊榮，證明了臺北榮總在醫療品質、醫療技術精進與創新方面的卓越成果。 Taipei Veterans General Hospital (TVGH) is dedicated to achieving high medical quality and patient safety as well as implementing smart health care. In addition to the routine clinical services and responsibilities as a national medical center, the hospital has established a Quality Management Center. This center guides medical departments in adopting information technology, integrating big data analysis and artificial intelligence, and successfully improving patient journeys, and this center plays a critical role in enhancing the transparency and efficiency of hospital management and ensuring high patient safety. In 2024, TVGH received three National Healthcare Quality Award’s Outstanding Healthcare Diamond Awards from the Joint Commission of Taiwan, indicating its excellence in medical quality, technology advancement, and innovation.
{"title":"臺北榮總傑出醫療團隊之管理與創新策略","authors":"吳致緯 吳致緯, 羅宇成 羅宇成, 陳正豐 陳正豐, 李偉強 李偉強, 陳威明 Wei-Keung Lee","doi":"10.53106/199457952024071804004","DOIUrl":"https://doi.org/10.53106/199457952024071804004","url":null,"abstract":"\u0000 臺北榮民總醫院在醫療品質、病人安全、智慧醫療耕耘多年。除了例行的臨床服務和國家級醫學中心的任務外，臺北榮總另設有品質管理中心，以輔導各科部引入資訊科技技術，結合大數據分析與人工智慧，改善個醫療服務流程，提高醫院管理的透明度和效率，建構良好的病人安全文化。 2023年更獲得醫策會國家醫療品質獎傑出醫療類三座鑽石獎的殊榮，證明了臺北榮總在醫療品質、醫療技術精進與創新方面的卓越成果。\u0000 Taipei Veterans General Hospital (TVGH) is dedicated to achieving high medical quality and patient safety as well as implementing smart health care. In addition to the routine clinical services and responsibilities as a national medical center, the hospital has established a Quality Management Center. This center guides medical departments in adopting information technology, integrating big data analysis and artificial intelligence, and successfully improving patient journeys, and this center plays a critical role in enhancing the transparency and efficiency of hospital management and ensuring high patient safety. In 2024, TVGH received three National Healthcare Quality Award’s Outstanding Healthcare Diamond Awards from the Joint Commission of Taiwan, indicating its excellence in medical quality, technology advancement, and innovation.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"151 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141708562","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}
Pub Date : 2024-07-01DOI: 10.53106/199457952024071804003
周怡汝 周怡汝, 劉時安 劉時安
醫策會國家醫療品質獎是目前醫療領域中最具挑戰性和前瞻性的競賽之一。臺中榮民總醫院在智慧醫療領域屢獲殊榮，並連續三次榮獲「智慧醫院全機構標章獎」。在當今快速發展的數位時代，醫療領域也不例外地受到科技的深刻影響，醫院積極推動數位轉型，融合雲計算、大數據分析和AI技術，全面發展智慧醫療架構。參賽過程中，醫院深入評估智慧解決方案，遵循參賽規範，並於準備階段精心規劃每項服務流程，以確保順利取得認證。院內強調全院合作之重要性，制定詳細甘特圖，多次舉辦協調會與演練，以求在實地審查中完美展示智慧化流程。高層的支持和全體同仁的共同努力，是取得優異成績之關鍵，在此分享我們的參賽經驗，期望能幫助其他醫院進行數位轉型與參賽準備。 The National Healthcare Quality Award, overseen by the Joint Commission of Taiwan, is among the most challenging and forward-looking competitions in the medical field. Taichung Veterans General Hospital has repeatedly been recognized for its achievements in smart health care, winning the Smart Hospital award of the Healthcare Quality Improvement Campaign three consecutive times. Rapid advancements in digital applications have profoundly affected the medical field. Hospitals are actively promoting digital transformation by integrating cloud computing, big data analytics, and artificial intelligence technology to develop a smart health-care framework. During the National Healthcare Quality Award competition, the Taichung Veterans General Hospital conducted an in-depth evaluation of smart solutions in accordance with competition guidelines, meticulously planning each service process during the preparation stage to ensure successful certification. The hospital emphasized the importance of comprehensive cooperation across all departments, created detailed Gantt charts, and held multiple coordination meetings and drills to effectively demonstrate smart processes during on-site reviews. Support from top management and the collective effort of all staff were crucial to achieving these outstanding results. In this paper, we share the competition experience of the hospital, providing insights that can assist other medical institutions in their digital transformation and competition preparation.
{"title":"臺中榮總智勇雙全: 三度獲得智慧全機構分享","authors":"周怡汝 周怡汝, 劉時安 劉時安","doi":"10.53106/199457952024071804003","DOIUrl":"https://doi.org/10.53106/199457952024071804003","url":null,"abstract":"\u0000 醫策會國家醫療品質獎是目前醫療領域中最具挑戰性和前瞻性的競賽之一。臺中榮民總醫院在智慧醫療領域屢獲殊榮，並連續三次榮獲「智慧醫院全機構標章獎」。在當今快速發展的數位時代，醫療領域也不例外地受到科技的深刻影響，醫院積極推動數位轉型，融合雲計算、大數據分析和AI技術，全面發展智慧醫療架構。參賽過程中，醫院深入評估智慧解決方案，遵循參賽規範，並於準備階段精心規劃每項服務流程，以確保順利取得認證。院內強調全院合作之重要性，制定詳細甘特圖，多次舉辦協調會與演練，以求在實地審查中完美展示智慧化流程。高層的支持和全體同仁的共同努力，是取得優異成績之關鍵，在此分享我們的參賽經驗，期望能幫助其他醫院進行數位轉型與參賽準備。\u0000 The National Healthcare Quality Award, overseen by the Joint Commission of Taiwan, is among the most challenging and forward-looking competitions in the medical field. Taichung Veterans General Hospital has repeatedly been recognized for its achievements in smart health care, winning the Smart Hospital award of the Healthcare Quality Improvement Campaign three consecutive times. Rapid advancements in digital applications have profoundly affected the medical field. Hospitals are actively promoting digital transformation by integrating cloud computing, big data analytics, and artificial intelligence technology to develop a smart health-care framework. During the National Healthcare Quality Award competition, the Taichung Veterans General Hospital conducted an in-depth evaluation of smart solutions in accordance with competition guidelines, meticulously planning each service process during the preparation stage to ensure successful certification. The hospital emphasized the importance of comprehensive cooperation across all departments, created detailed Gantt charts, and held multiple coordination meetings and drills to effectively demonstrate smart processes during on-site reviews. Support from top management and the collective effort of all staff were crucial to achieving these outstanding results. In this paper, we share the competition experience of the hospital, providing insights that can assist other medical institutions in their digital transformation and competition preparation.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"169 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141711464","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}
目的：本機構自2018年推動「創傷性腦損傷照護品質認證」，以瞭解現階段國內創傷性腦損傷照護團隊運作上的情形、以及認證對於照護團隊的效益。 材料（或研究對象）與方法：本研究分析2019年至2021年參與認證的團隊之動機、成績及認證意見報告書內容，並進一步探討在認證規範標準一致的情形下，不同層級團隊的表現及認證帶來的效益是否會有差異。 結果：研究結果發現團隊參加「創傷性腦損傷照護品質認證」主要動機為提升照護品質，醫學中心於本認證之表現較其他層級之醫院好，而對於認證效益方面，以促進整合團隊運作的滿意度最高。 結論：本研究建議其他團隊可參考目前參與團隊常見問題，全面性檢視團隊運作；衛生主管機關宜提供整合照護相關獎勵補助政策。 Aim: In 2018, the Joint Commission of Taiwan launched the “Disease Specific Care—Traumatic Brain Injury” (DSC—TBI) certification program. To understand the operation of domestic traumatic brain injury (TBI) care teams and the benefits of certification for such teams. Method: We evaluated the motivations for applying for DSC—TBI certification, performance scores, and certification recommendation reports of care teams that participated in the DSC—TBI certification program from 2019 to 2021. Furthermore, we investigated whether the performance and certification benefits differed among teams of different levels with identical certification standards. Result: The results revealed that the teams’ primary motivation for participating in the DSC—TBI certification program was to improve the quality of care they provided. The performance of the medical center in this accreditation is better than hospitals at other levels. Regarding certification benefits, the teams were most satisfied with the operation of the teams after integration. Conclusion: We suggest that other care teams refer to the common problems encountered by the teams included in this study and comprehensively inspect the operation of their teams. The health authorities should provide integrated relevant healthcare incentive subsidies policies.
{"title":"外部認證對於創傷性腦損傷照護團隊之影響","authors":"黃馨慧 黃馨慧, 陳珮郁 Hsin-Hui Huang, 董庭宇 Pei-Yu Chen, 江靜楓 江靜楓, 許惠淑 許惠淑, 王拔群 Hui-Shu Hsu","doi":"10.53106/199457952024071804005","DOIUrl":"https://doi.org/10.53106/199457952024071804005","url":null,"abstract":"\u0000 目的：本機構自2018年推動「創傷性腦損傷照護品質認證」，以瞭解現階段國內創傷性腦損傷照護團隊運作上的情形、以及認證對於照護團隊的效益。\u0000材料（或研究對象）與方法：本研究分析2019年至2021年參與認證的團隊之動機、成績及認證意見報告書內容，並進一步探討在認證規範標準一致的情形下，不同層級團隊的表現及認證帶來的效益是否會有差異。\u0000結果：研究結果發現團隊參加「創傷性腦損傷照護品質認證」主要動機為提升照護品質，醫學中心於本認證之表現較其他層級之醫院好，而對於認證效益方面，以促進整合團隊運作的滿意度最高。\u0000結論：本研究建議其他團隊可參考目前參與團隊常見問題，全面性檢視團隊運作；衛生主管機關宜提供整合照護相關獎勵補助政策。\u0000 Aim: In 2018, the Joint Commission of Taiwan launched the “Disease Specific Care—Traumatic Brain Injury” (DSC—TBI) certification program. To understand the operation of domestic traumatic brain injury (TBI) care teams and the benefits of certification for such teams.\u0000Method: We evaluated the motivations for applying for DSC—TBI certification, performance scores, and certification recommendation reports of care teams that participated in the DSC—TBI certification program from 2019 to 2021. Furthermore, we investigated whether the performance and certification benefits differed among teams of different levels with identical certification standards.\u0000Result: The results revealed that the teams’ primary motivation for participating in the DSC—TBI certification program was to improve the quality of care they provided. The performance of the medical center in this accreditation is better than hospitals at other levels. Regarding certification benefits, the teams were most satisfied with the operation of the teams after integration.\u0000Conclusion: We suggest that other care teams refer to the common problems encountered by the teams included in this study and comprehensively inspect the operation of their teams. The health authorities should provide integrated relevant healthcare incentive subsidies policies.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141696610","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}
國立成功大學醫學院附設醫院（以下稱成大醫院）作為南臺灣唯一的國立大學醫學院附設醫院，融合創新與卓越，積極推動醫療品質與病人安全，形成了獨特的品質文化。2003年引入品質控制圈（以下稱品管圈）推動全面品質管理，2004年成立首個品質管理專責單位，鼓勵同仁自主發現問題並提出改善，並積極依據財團法人醫院評鑑暨醫療品質策進會（以下稱醫策會）舉辦的國家醫療品質獎（以下稱NHQA）競賽之設計理念，作為品質改善的催化劑。並藉由規劃和參與競賽，促成標竿學習、激發員工潛能，20年來致力多元均衡發展，屢獲佳績，2023年更榮獲智慧醫院全機構標章(Smart Hospital)與醫學中心特優機構的殊榮。 成大醫院從塑造全院品質文化、落實病人安全管理，到導入智慧元素、發展智慧醫院，運用各種管理工具，逐步導入全面品質管理活動，致力成為卓越的醫療典範，以及民眾理想的健康照護中心。 As the only university-affiliated hospital in southern Taiwan, National Cheng Kung University Hospital integrates innovation and excellence, actively promoting medical quality and patient safety, thereby forming a unique quality culture. In 2003, the hospital introduced quality control circles to enhance total quality management, and in 2004, the hospital established its first dedicated quality management unit, encouraging staff to independently identify issues and propose improvements. The hospital has adopted the design concepts of the National Healthcare Quality Award organized by the Joint Commission of Taiwan as a catalyst for quality improvement. Through careful planning and participation in competitions, the hospital fosters benchmark learning and inspires staff potential. Over the past two decades, National Cheng Kung University Hospital has maintained a commitment to diverse and balanced development, achieving numerous accolades. In 2023, it was awarded the Smart Hospital certification and recognized as an outstanding medical center. National Cheng Kung University Hospital has gradually introduced total quality management activities by shaping a hospital-wide quality culture, implementing patient safety management, and incorporating smart elements to develop a smart hospital. Using various management tools, the hospital strives to become an exemplary medical institution and the ideal health-care center for the public.
{"title":"融合創新與卓越：國家醫療品質獎引領的品質文化變革","authors":"沈華詩 沈華詩, 馬先芝 馬先芝, 陳柏齡 Hsien-Jy Ma, 賴佩君 賴佩君, 許志新 許志新, 李經維 李經維","doi":"10.53106/199457952024071804001","DOIUrl":"https://doi.org/10.53106/199457952024071804001","url":null,"abstract":"\u0000 國立成功大學醫學院附設醫院（以下稱成大醫院）作為南臺灣唯一的國立大學醫學院附設醫院，融合創新與卓越，積極推動醫療品質與病人安全，形成了獨特的品質文化。2003年引入品質控制圈（以下稱品管圈）推動全面品質管理，2004年成立首個品質管理專責單位，鼓勵同仁自主發現問題並提出改善，並積極依據財團法人醫院評鑑暨醫療品質策進會（以下稱醫策會）舉辦的國家醫療品質獎（以下稱NHQA）競賽之設計理念，作為品質改善的催化劑。並藉由規劃和參與競賽，促成標竿學習、激發員工潛能，20年來致力多元均衡發展，屢獲佳績，2023年更榮獲智慧醫院全機構標章(Smart Hospital)與醫學中心特優機構的殊榮。\u0000成大醫院從塑造全院品質文化、落實病人安全管理，到導入智慧元素、發展智慧醫院，運用各種管理工具，逐步導入全面品質管理活動，致力成為卓越的醫療典範，以及民眾理想的健康照護中心。\u0000 As the only university-affiliated hospital in southern Taiwan, National Cheng Kung University Hospital integrates innovation and excellence, actively promoting medical quality and patient safety, thereby forming a unique quality culture. In 2003, the hospital introduced quality control circles to enhance total quality management, and in 2004, the hospital established its first dedicated quality management unit, encouraging staff to independently identify issues and propose improvements. The hospital has adopted the design concepts of the National Healthcare Quality Award organized by the Joint Commission of Taiwan as a catalyst for quality improvement. Through careful planning and participation in competitions, the hospital fosters benchmark learning and inspires staff potential. Over the past two decades, National Cheng Kung University Hospital has maintained a commitment to diverse and balanced development, achieving numerous accolades. In 2023, it was awarded the Smart Hospital certification and recognized as an outstanding medical center.\u0000National Cheng Kung University Hospital has gradually introduced total quality management activities by shaping a hospital-wide quality culture, implementing patient safety management, and incorporating smart elements to develop a smart hospital. Using various management tools, the hospital strives to become an exemplary medical institution and the ideal health-care center for the public.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141712388","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}
Pub Date : 2024-05-01DOI: 10.53106/199457952024051803003
鄭紹宇 鄭紹宇
醫學中心「任務三：卓越的醫療品質與病人安全」，以2023年參與醫學中心評鑑之14家參與醫學中心為研究對象，凸顯臺灣醫療機構在追求高品質醫療與病人安全方面的成就。各醫院積極建立管理架構與組織策略，包括成立委員會與小組，推動改善活動。領導系統的強化與主管參與教育訓練促進了品質與安全的執行。教育訓練持續進行與精進，提升醫護人員的意識。品管中心主導和品管圈的推動，促進全院性的參與。內省回饋機制推動根本原因分析與改善措施的落實。資訊科技的應用提高了效率與準確性。大量資源投入於品質與安全活動，並普遍應用資訊智慧化與科技支援。醫院間的分享與合作提升了區域醫療水準。我們臺灣醫療機構通過建構組織架構、推動教育訓練、建置內省回饋機制等方式，持續加強品質文化，提供卓越品質與病安的健康照護，並促進整個區域醫療水準的提升。 Mission Three: Excellent Medical Quality and Patient Safety- highlights the achievements of 14 competitive medical centers in Taiwan in pursuing high-quality health care and patient safety in 2023. Each hospital actively established management frameworks and organizational strategies, including committees and groups, to promote improvement activities. Strengthening leadership systems and supervisor participation in education and training aided the execution of quality and safety measures. Continuous education and training enhanced the awareness of health-care personnel. The leadership of the Quality Control Center and the promotion of quality control circles fostered participation across the hospital. The introspective feedback mechanism promoted root cause analysis and the implementation of improvement measures. The application of information technology improved efficiency and accuracy. Medical centers invested substantial resources in quality and safety activities, with widespread use of information intelligence and technological support. Sharing and collaboration among hospitals elevated regional health-care standards. Through the construction of organizational frameworks, promotion of education and training, and establishment of introspective feedback mechanisms, Taiwanese medical institutions continuously strengthen their culture of quality, thereby providing excellent health-care quality and patient safety while promoting the enhancement of regional health-care standards.
{"title":"卓越的醫療品質與病人安全是健康照護共同的任務與責任－醫學中心任務三之評核成效與意義","authors":"鄭紹宇 鄭紹宇","doi":"10.53106/199457952024051803003","DOIUrl":"https://doi.org/10.53106/199457952024051803003","url":null,"abstract":"\u0000 醫學中心「任務三：卓越的醫療品質與病人安全」，以2023年參與醫學中心評鑑之14家參與醫學中心為研究對象，凸顯臺灣醫療機構在追求高品質醫療與病人安全方面的成就。各醫院積極建立管理架構與組織策略，包括成立委員會與小組，推動改善活動。領導系統的強化與主管參與教育訓練促進了品質與安全的執行。教育訓練持續進行與精進，提升醫護人員的意識。品管中心主導和品管圈的推動，促進全院性的參與。內省回饋機制推動根本原因分析與改善措施的落實。資訊科技的應用提高了效率與準確性。大量資源投入於品質與安全活動，並普遍應用資訊智慧化與科技支援。醫院間的分享與合作提升了區域醫療水準。我們臺灣醫療機構通過建構組織架構、推動教育訓練、建置內省回饋機制等方式，持續加強品質文化，提供卓越品質與病安的健康照護，並促進整個區域醫療水準的提升。\u0000 Mission Three: Excellent Medical Quality and Patient Safety- highlights the achievements of 14 competitive medical centers in Taiwan in pursuing high-quality health care and patient safety in 2023. Each hospital actively established management frameworks and organizational strategies, including committees and groups, to promote improvement activities. Strengthening leadership systems and supervisor participation in education and training aided the execution of quality and safety measures. Continuous education and training enhanced the awareness of health-care personnel. The leadership of the Quality Control Center and the promotion of quality control circles fostered participation across the hospital. The introspective feedback mechanism promoted root cause analysis and the implementation of improvement measures. The application of information technology improved efficiency and accuracy. Medical centers invested substantial resources in quality and safety activities, with widespread use of information intelligence and technological support. Sharing and collaboration among hospitals elevated regional health-care standards. Through the construction of organizational frameworks, promotion of education and training, and establishment of introspective feedback mechanisms, Taiwanese medical institutions continuously strengthen their culture of quality, thereby providing excellent health-care quality and patient safety while promoting the enhancement of regional health-care standards.\u0000 \u0000","PeriodicalId":260200,"journal":{"name":"醫療品質雜誌","volume":"30 31","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141041621","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}
Pub Date : 2024-05-01DOI: 10.53106/199457952024051803002
李三剛 李三剛
2023年醫院評鑑暨教學醫院評鑑於臺北區與北區有14家醫院參加醫學中心評鑑，分析統計醫學中心任務指標任務三卓越的醫療品質與病人安全的4個項次9條基準32款評分說明的執行結果，大部分皆能達到評分說明的要求，有少數醫院可能未在任務指標審查資料表說明，或缺少部分內容，但整體都能呈現出卓越的醫療品質與病人安全成果。不過醫院投入醫品病安金額占醫院總收入的佔比差異很大，臺灣病人安全通報系統(TPR)件數與其他全院性通報系統之通報件數，每家醫院呈報的數字差異也很大，可能與醫院規定的病人安全通報類別與流程不同導致，將來也許需要清楚的界定。2023年醫學中心評鑑結果，各醫院評鑑成績持續進步，差異逐漸縮小，14家申請醫學中心評鑑之13家醫院，成績均達醫學中心評鑑標準，顯示參加醫學中心評鑑的醫院，都具有一定的水準，尤其醫療品質與病人安全皆能按照任務三的基準執行，得到良好的表現。建議以後，除落實執行衛福部規定的醫療品質及病人安全工作目標外，病人安全通報(TPR)後，進行根本原因分析(RCA)應確實按照衛福部「病人安全事件根本原因分析作業程序」參考指引執行，找出造成重大病安事件或流程執行失效根本原因，提出具體改善措施，以防止再次發生危害事件的機會。 In 2023, 14 hospitals in Taipei and in the North District of Taiwan applied for Hospital and Teaching Hospital Accreditation. An analysis and compilation of the implementation results of the medical center’s mission indicators for Mission Three, “Excellent Medical Quality and Patient Safety,” revealed 4 categories, 9 standards, and 32 scoring instruction items. The majority of the implementation results met the requirements of the scoring instructions. A few hospitals may not have provided explanations in the mission indicator review information sheet or may have been missing some content, but overall, they demonstrated excellent medical quality and patient safety results. Nevertheless, the proportion of each hospital’s investment in medical quality and patient safety relative to its total revenue varied greatly. The number of reports submitted to the Taiwan patient safety reporting system and other hospital-wide reporting systems also differed greatly among hospitals, possibly due to differences in the patient safety notification categories and procedures prescribed by each institution. These aspects may require clearer definition in the future. The medical center accreditation results demonstrated continued improvement in each hospital’s scores, with the differences gradually narrowing. In total, 13 out of the 14 hospitals that applied for medical center accreditation achieved scores that met the accreditation standards, demonstrating a certain level of excellence, particularly in implementing Mission Three’s standards for medical quality and patient safety and achieving good performance. In the future, hospitals should not only implement the medical quality and patient safety goals stipulated by the Ministry of Health and Welfare but also conduct root cause analyses following Taiwan patient safety reporting system in accordance with the Ministry of Health and Welfare’s ""Root Cause Analyses Operational Procedures for Patient Safety Incidents."" Hospitals should identify the root causes of major health and safety incidents or process execution failures and propose specific improvement measures to prevent the recurrence of hazardous incidents.
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