運用資訊化系統改善神經內科加護病房計價衛材漏帳之專案

Study on Using an Information System to Reduce the Omission Rate of Charging Medical Materials in the Neurological Intensive Care Unit

林靜秀(Ching-Hsiu Lin)；林亭吟(Ting-Yin Lin)；蔡淑媛(Shu-Yuan Tsai)；林怡如(I-Ju Lin)；陳秀偵(Shiu-Chen Chen)

資訊化系統 ； 醫療衛材 ； 計價遺漏 ； information system ； medical materials ； omissions of charging medical materials

志為護理-慈濟護理雜誌

22卷1期（2023 / 02 / 01）

94 - 107

繁體中文;英文

計價衛材漏帳可能導致醫療成本增加，影響病人安全，本病房計價漏帳率為49.3%，專案目的旨在改善單位計價衛材漏帳率；訂定策略改善為：制定病房計價資訊系統作業操作流程、增設單位常用計價衛材操作功能項目及提醒字幕、制定查核制度及獎勵制度、制定單位計價衛材種類及價位表及舉辦資訊化系統作業在職教育。運用了計價資訊化系統及行動條碼手法改變了舊有對計價衛材的概念及計價方式，不僅改善了病房漏計價，也突顯護理人員除了能在工作上將其既有的專業發揮地淋漓盡致並走在資訊時代的尖端，計價衛材漏帳率也由改善前49.3%降至8.5%。

Any omissions of charging medical materials can result in an increase in medical costs and even put patients' lives at risk. In this study, the omission rate for charging medical materials in one neurological intensive care unit was found to be 49.3%. In this report we conducted a literature review and matrix analysis of the relevant literature. The following improvement actions were then taken: establishing a standard operating procedure for charging medical materials on the information system; adding new functions for commonly used medical materials and reminders to the information system; drawing up an auditing and reward scheme; compiling a table listing the types and prices of medical materials; and providing on-the-job training for the information system. The use of an information system and QR codes innovated the perception of, and the solution to, charging medical materials. The result showed the omission rate for charging medical materials was reduced to 8.5% from 49.3% after the improvement actions. Not only did the omission rate for charging medical materials drop but nursing personnel also kept abreast of current technological developments.

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