請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/37570
標題: | 設計與實作電子給藥記錄–以台大醫院為例 Design and Implementation of Electronic Medication Administration Record – A Case Study of NTUH |
作者: | Po-Chao Shen 沈伯昭 |
指導教授: | 賴飛羆 |
關鍵字: | 病人安全,醫療品質,電子給藥記錄, quality of medical care,Electronic Medication Administration Record, |
出版年 : | 2008 |
學位: | 碩士 |
摘要: | 醫療照護最重要的就是病人安全,然而錯誤的發生卻是在所難免,特別是犯錯是人的天性。為了減少人為造成的錯誤,我們建立了健康資訊系統來促進病人安全,以及改善醫療品質。整個醫療照護的過程中,所有的醫療行為都是依據醫師所開立的醫令;在台大醫院,電子病歷工作小組提出了一套符合院內程序與規範的標準醫令流程。這套標準化的醫令流程有三種作用:第一,強化醫療程序以及醫院政策;第二,流程中規範的程序都是必須、不可缺少的,這些程序能夠促進病人安全以及改善醫療品質;第三,蒐集足夠的資料,以便在不久的將來推行電子病歷。在幾項被提出的程序中,我們決定先建構電子給藥記錄系統,因為根據國內外的研究指出,藥物相關的事件佔了所有醫療錯誤事件中最高的比率,並且我們預期電子給藥記錄系統能夠降低藥物錯誤事件。此外,我們也希望電子給藥記錄系統,能夠協助護理人員實施給藥。 The most important thing of medical care is patients’ safety, but errors can hardly be avoided, especially to err is human. In order to reduce the errors caused by human, we construct Health Information System (HIS) to facilitate patients’ safety and to improve the quality of medical care. Through the process of medical care, all of the medical acts are based on physicians’ orders, and in the National Taiwan University Hospital (NTUH), Electronic Health Record (EHR) committee proposed the localized standard flow of orders. There are many purposes of the standard flow of orders, first, to enhance medical procedures and enforce hospital policies; second, any necessary procedures can facilitate patients’ safety and improve the quality of medical care; third, to collect enough data for using EHR in near future. Among the proposed procedures, we decide to construct Electronic Medication Administration Record (EMAR) System, because according to researches, medication errors are high proportion of all medical errors, and we expect the EMAR system can reduce medication errors. Besides, we also hope EMAR can assist nurses to administer medication. |
URI: | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/37570 |
全文授權: | 有償授權 |
顯示於系所單位: | 資訊工程學系 |
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