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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
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dc.contributor.advisor | 蔡彥卿,劉心才 | |
dc.contributor.author | Yung-Lung Wu | en |
dc.contributor.author | 吳永隆 | zh_TW |
dc.date.accessioned | 2021-07-10T21:35:18Z | - |
dc.date.available | 2021-07-10T21:35:18Z | - |
dc.date.copyright | 2016-10-14 | |
dc.date.issued | 2016 | |
dc.date.submitted | 2016-08-12 | |
dc.identifier.citation | Agency for Healthcare Research and Quality. 2016. TeamSTEPPS®: Strategies and Tools to Enhance Performance and Patient Safety. http://www.ahrq.gov/professionals/education/curriculum-tools/teamstepps/about-teamstepps/index.html. Jun. 12, 2016.
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Field, J.M. et. al. 2010. 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care science. Circulation, 122(18):S642 Helmreich, R.L., Klinect, J.R., and Wilhelm, J.A. 1999. Models of threat, error, and CRM in flight operations. In Proceedings of the Tenth international Symposium on Aviation Psychology, (pp 677-682). Columbus, OH: The Ohio State University. Helmreich, R.L., and Merritt, A.C. 1998. Culture at work in Aviation and Medicine: National, Organizational, and Professional Influences. Aldershot, Hampshire, England: Ashgate. Helmreich, R.L., and Musson, D.M. 2004. Team training and resource management in health care: Current Issues and Future Directions. Harvard Health Policy Review, 5(1): 25-35. Hunziker, S., Johansson, A.C., Tschan, F., Semmer, N.K., Rock, L., Howell, M.D., and Marsch S. 2011. Teamwork and Leadership in Cardiopulmonary Resuscitation. Journal of the American College of Cardiology, 57(24): 2381-2388. Hunziker, S., Tschan, F., Semmer, N.K., Zobrist, R., Spychiger, M., Breuer, M., Hunziker, P.R., and Marsch S.C.2009. Hands-on time during cardiopulmonary resuscitation is affected by the process of teambuilding: A prospective randomized simulator-based trial. BioMed Central Emergency Medicine, 9(3): 1-10. International Civil Aviation Organization. 2002. Line Operations Safety Audit (LOSA)( Doc 9803-AN/761). Montréal, Quebec, Canada: International Civil Aviation Organization. Jeffrey L.L., 2012. The Effects of Aviation Error Management Training on Perioperative Safety Attitudes. International Journal of Business and Social Science, 3(2): 77-90. Klinect, J.R., Murray, P., Merritt, A., and Helmreich, R. 2003. Line Operations Safety Audit (LOSA): Definition and operating characteristics. In Proceedings of the 12th International Symposium on Aviation Psychology (pp. 663-668). Dayton, OH: The Ohio State University. Linda, T.K., Janet, M.C., and Molla, S.D. 2000. To Err Is Human : Building a Safer Health System. Committee on Quality of Health Care in America; Institute of Medicine. Washington, D.C.: NATIONAL ACADEMY PRESS. Mancini, M.E., Soar, J., Bhanji, F., Bili, J. E., Dennett, J., and Finn, J., et al. 2010. 2010 International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Circulation, 122: 539-581. Morey, J.C., Simon, R., Jay, G.D., Wears, R.L., Salisbury, M., Dukes, K.A., and Bern S.D. 2002. Error reduction and performance improvement in emergency department through formal teamwork training: evaluation results of the MedTeams project. Health Services Research, 37(6): 1553-1581. Musson, D.M., 2008. Teamwork in Medicine: Crew Resource Management and Lessons from Aviation. In: Wears, RED and Croskerry, P. Eds., Patient Safety in Emergency Medicine: 188-194. Lippincott Williams &Wilkins, Philadelphia, PA Odegard, S. 2000. Safety management in civil aviation: a useful method for improved safety in medical care?. Safety Science Monitor, 4(1): 1-12. Suzanne, G., Patrick, M., Bonnie, B.O.2013. Beyond the Checklist: What Else Health Care Can Learn from Aviation Teamwork and Safety (The Culture and Politics of Health Care Work) 1st Edition. Cornell University ILR School: ILR Press. Thomas, E.J., Sherwood, G.D., Helmreich, R.L.2003. Lessons from aviation: Teamwork to improve patient safety. Nursing Economics; Sep/Oct 2003; 21, 5; Hospital Premium Collection: 241. Thomas, E.J., Sexton, J.B., and Helmreich, R.L. 2004. Translating teamwork behaviours from aviation to healthcare: development of behavioural markers for neonatal resuscitation. Quality Safety Health Care, 13(Suppl1):i57-i64. Tom, W.R. and Brian, H.C. 2011. Teamwork and team training in the ICU: Where do the similarities with aviation end? Critical Care, 15(6): 313. Wolf, F.A., Way, L.W., and Stewart, L. 2010. The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863cases.Annals of Surgery, 252(3):477-483. Yeung, J.H., Ong, G.J., Davies, R.P., Gao, F., and Perkins, G.D. 2012. Factors affecting team leadership skills and their relationship with quality of cardiopulmonary resuscitation. Critical Care Medicine, 40(9):2617-2621. 行政院衛生福利部醫事司,2016,醫院緊急醫療能力分級標準_0046560001,台北:衛生福利部。 行政院衛生福利部醫事司,2016,104年度急救責任醫院名單,台北:衛生福利部。 行政院衛生福利部醫事司,2016,105年度醫院緊急醫療能力分級評定_基準及評分說明_0054483001,台北:衛生福利部。 | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/76699 | - |
dc.description.abstract | 心肺復甦術是在病人突發心肺停止時所進行的緊急處置,需要醫療人員緊密的合作來完成此一急迫且複雜的急救措施。在急救過程中,即使是一項小小的疏忽或一點點時間的延遲都可能導致無可挽回的結果,甚至造成病人傷害或生命損失。依據國內外專家的文獻報告指出,團隊合作的訓練可以減少人為疏失,進而提升醫療處置的成效。本研究個案的醫院於2009年導入團隊合作的訓練課程-團隊資源管理,並應用於日常醫療處置過程中,藉以促進醫療團隊的合作及減少醫療疏失的發生。
本研究是觀察急診室醫療人員於心肺復甦過程中運用團隊合作技巧的情形,藉由錄影帶回顧及評量表的方式來評估醫療人員團隊合作技巧的執行率,並探討對急救成效的影響。本研究選取了20例於急診室進行心肺復甦術之到院前心跳停止個案,其中8例為急診室醫療人員在接受團隊資源管理訓練課程前之個案,12例為急診室醫療人員在接受團隊資源管理訓練課程後之個案。研究結果發現在此20個病例中,急診室醫療人員接受團隊資源管理訓練課程前運用團隊合作技巧的平均執行率為56.88% (最低45.63%及最高62.50%),而急診室醫療人員接受團隊資源管理訓練課程後運用團隊合作技巧的平均執行率為67.83% (最低52.50%及最高81.94%)。經由團隊合作技巧的執行率的提升,病人心肺復甦術之成功率也由26.1% 增加到33.3%。本研究結果顯示團隊合作能促進急救品質。因此,醫院除了在急救知識技能的訓練外,應再持續加強醫療團隊合作之訓練以促進團隊合作效能。如此不但能減少醫療疏失,更可提供優質的醫療服務品質,進而促進病人安全與病人健康。 | zh_TW |
dc.description.abstract | Cardiopulmonary Resuscitation (CPR) was performed when the patient was suffered from sudden cardiopulmonary arrest. It requires seamless cooperation of medical personnel to accomplish this urgent and complex emergency measures. In the first aid process, even a small error or delay may lead to irreversible results, and cause the patient harm or loss of life. According to the literatures, they pointed out that the team-training may reduce human errors and enhance the effectiveness of medical measures. The case hospital introduced the Team Resource Management (TRM) in 2009. Then the teamwork skills was used in daily medical process to promote teamwork and reduce medical errors occurred.
This study is to observe the emergency room medical personnel use teamwork skills in situations of cardiopulmonary resuscitation before and after TRM training. With video review and scorecard approach to assess the performance of teamwork. We randomly selected 20 patients(cases) who suffered from out of hospital cardiac arrest and followed CPR in the emergency room. The 8 pre-TRM training cases had an average performance score of 56.88 (a minimum of 45.63, and a maximum of 62.50) while the other 12 post-TRM training cases had an average performance score of 67.83 ( a minimum of 52.50, and a maximum of 81.94). By promoting implementation rate of teamwork skills, the successful rate of cardiopulmonary resuscitation increased to 33.3% from the 26.1%. The results of this study show teamwork improve quality of medical cares. In addition to medical knowledge and skills, it should strengthen teamwork training. The teamwork training not only reduce medical errors, but it also improves medical services to promote patient safety and healthcares. | en |
dc.description.provenance | Made available in DSpace on 2021-07-10T21:35:18Z (GMT). No. of bitstreams: 1 ntu-105-P02744007-1.pdf: 1039848 bytes, checksum: cae510d357ec54889d7e320a8f65ea85 (MD5) Previous issue date: 2016 | en |
dc.description.tableofcontents | 目錄
口試委員審定書 i 誌謝 ii 中文摘要 iii 英文摘要 iv 目錄 vi 表目錄 vii 第一章 緒論 1 第一節、研究背景 1 第二節、研究目的 4 第三節、研究架構圖 5 第二章 文獻回顧 6 第一節、心肺復甦急救訓練 6 第二節、醫療團隊合作訓練 8 第三章 研究方法 10 第一節、個案研究單位-急診部門 10 第二節、團隊合作訓練課程-團隊資源管理(TRM)11 第三節、數據收集-團隊合作執行成效監測及評估模式 14 第四節、急救成效評估 17 第四章 資料分析 18 第一節、團隊合作執行率監測結果與討論 18 第二節、團隊合作與心肺復甦成效討論 23 第五章 結論與建議 24 第一節、結論 24 第二節、建議 26 參考文獻 27 表目錄 表1團隊合作執行成效監測表(1) 15 表2團隊合作執行成效監測表(2) 16 表3團隊合作執行率統計表 18 表4團隊構面執行率統計表 19 表5領導構面執行率統計表 19 表6狀況監測構面執行率統計表 20 表7互助合作構面執行率統計表 20 表8溝通構面執行率統計表 21 | |
dc.language.iso | zh-TW | |
dc.title | 運用團隊資源管理之訓練提升急救成效 | zh_TW |
dc.title | Effectiveness of Team Resource Management
on the Cardiopulmonary Resuscitation | en |
dc.type | Thesis | |
dc.date.schoolyear | 104-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 簡雪芬 | |
dc.subject.keyword | 心肺復甦術,團隊合作,機組員資源管理,團隊資源管理,人為疏失, | zh_TW |
dc.subject.keyword | Cardiopulmonary resuscitation,Teamwork,Crew resource management,Team resource management,Human error, | en |
dc.relation.page | 30 | |
dc.identifier.doi | 10.6342/NTU201602438 | |
dc.rights.note | 未授權 | |
dc.date.accepted | 2016-08-14 | |
dc.contributor.author-college | 管理學院 | zh_TW |
dc.contributor.author-dept | 會計與管理決策組 | zh_TW |
顯示於系所單位: | 會計與管理決策組 |
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