如何落实麻醉品质与安全课件.pptVIP

如何落實麻醉品質與安全通報? 醫療品質量測 透過臨床指標事件的定期監測 ，可以利用管制圖(Statistical Process Control)發掘醫療不良事件，以PDCA模式進行品質提升。 但許多醫療不良事件的發生極為少見 ，難以透過預先制定的指標加以監測。 麻醉品質量測 麻醉品管指標系統 麻醉異常事件報告 麻醉重大併發症問卷調查 量測系統 ASA 麻醉品管指標 Mortality (within 48 hours of anesthetic care) Operation cancelled while receiving anesthetic care Discharge/PACU Issues 2 unplanned hours spent in PACU Airway Problems Failed tracheal intubation and unable to ventilate with mask Dental trauma Cardiovascular Problems Cardiac arrest (during procedure or within 48 hours of anesthetic care) MI (within 48 hours of anesthetic care) Respiratory Problems R