Developing a National Patient Safety Education Policy Frameworkfor Taiwan

• Main Authors: Ling-Ling Lee, 李苓令
• Other Authors: 郭乃文
• Format: Others
• Language: zh-TW
• Published: 2008
• Online Access: http://ndltd.ncl.edu.tw/handle/68003849246171697947

碩士 === 臺北醫學大學 === 醫務管理學研究所 === 96 === Abstract Title of Thesis：Developing a National Patient Safety Education Framework for Taiwan Author：Ling-Ling Lee Thesis advised by：Nai-Wen Kuo, Ph.D. In recent years, improving patient safety and decreasing the error in medical activities is one of the important directions for reforming medical systems in various countries. In a conference held by NPSF in 2006, the United States declared that they would refer to the Crew Resource Management (CRM) in the aerial business and develop a group training course between various professions to improve team work. It was regarded as a trend of international patient safety activities development, and it also meant that patient safety education plays a critical role in the structure of patient safety. The following are the performances of the patient safety education in various countries: Canadian research shows that training could significantly improve the cognition of patient safety culture in nursing management. American research also shows that the emergency rooms which adopted the CRM system in the aerial business made less clinical mistakes than those who did not. In Taiwan, orthopedists are encouraged to follow the「Mark Op Site」procedure. In addition, medical networks in various areas are promoting the practice of patient safety education. The results showed that an increasing amount of the members in Taiwan’s Orthopaedic Association had started to practice the Mark Op site procedure. Also, the results of the 「patient safety international exchange and the populace participation plan」, which was conducted by Taiwan’s Joint Commission on Hospital Accreditation, shows that after increasing the percentages of courses for abnormal events, the number of reported events relating to on-the-job training had increased. The results proved the involvement of education can certainly and efficiently improve quality. This research hopes that by referring to the domestic and international experience, to develop a patient safety education program which is discussed, reviewed, and accomplished by the experts and is suitable for the nationwide medical institutions. This program could provide the authority with a reference in establishing the「National Policy Guidance of Patient Safety Education for Domestic Medical Institutions」, which could be applied to all levels of medical institutions as seen appropriate and necessary for patient safety education. The program subjects of patient safety in this research referred to domestic and foreign publications, program subjects of on-job training and related activities which had been held, and the contents and frameworks of patient safety established in various countries collected from related web-sites and databases. We first drafted on the article “Developing Patient Safety Education Framework in Medical Institution in Taiwan” and then held the focus group symposium for experts and academics twice to accomplish the first round questionnaire set; After that, we invited the experts and academics to filled out the questionnaires by Delphi Methods for two times, and consolidated the selections according to the “Importance” and “Feasibility” dimensions evaluated by the experts and academics. This “Patient Safety Education Framework in Medical Institution in Taiwan” contains seven areas, twenty-one educational goals, and sixty program subjects. We then made the questionnaires and sent to one hundred and twenty four hospitals (including Medical Centers, Regional Teaching Hospitals, and District Teaching Hospitals) which were accredited by the new accreditation, and invited the personnel who were responsible to patient safety and related business to accomplish them. The result of this research demonstrates: Based on various hospitals’ answers, fifty-five program subjects were selected according to the importance and demand for the curriculum. These courses covered seven main areas “basic concepts and policies for patient safety”, “constructing patient safety culture”, “risk management”, “leadership and teamwork”, “effective communication”, “using evidences and information”, and “continuing education and studies.” Comparing with the patient safety education frameworks developed in Australia, United States, and England, these programs covered a wider range, and the selected subjects could provide a clear direction that was both more systematic and comprehensive for domestic medical institutions. If we could develop various courses and materials for patient safety education depending on these programs, then it could not only conform to the cost benefit but also improve the difficult situations of tiny hospitals which cannot develop patient safety education courses on their own due to they were too small to have the economic scales. In practice of popularizing patient safety education domestically, we want to influence the attendees’ cognitions and thus change their behaviors by limited courses. In the end, they would transform to executions and promote the quality of medical services. Keywords：patient safety，education