運用ATP檢測及擬定清潔流程改善血腫病房工作車清潔暨感染控制成效

血腫病人因免疫低下，以致感染發生率高，嚴重感染會提高敗血症發生。經調查分析發現，護理師未落實手部衛生及洗手時機、缺乏護理師清潔規範、客觀清潔成效查核工具及即時回饋機制，且清潔人員整理工作車程序不確實，並缺乏提醒機制，以上導因成為菌株傳播媒介，故引發改善動機，期望提升手部衛生及工作車清潔成效，以有效控制院內感染。經制定作業程序、製作精簡教學影片、運用螢光標示法及ATP查核並即時回饋、加強教育訓練等改善措施推動，專案改善後護理師手部衛生正確率由53.8%提升至87.5%，上班備藥前工作車清潔執行率由70%提升至90.4%。我們以ATP檢測達到專案目標，藉有效緩解及維持單位感染密度，已正向成效回饋於...

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Published in台灣醫學 Vol. 26; no. 5; pp. 527 - 536
Main Authors 韓志杰(Chih-Chieh Han), 謝秀祝(Shiouh-Chu Shieh), 周幸儀(Hsing-Yi Chou), 詹詠筑(Yung-Chu Chan), 侯信安(Hsin-An Hou), 劉瀅潔(Ying-Chieh Liu)
Format Journal Article
LanguageChinese
Published 台灣 臺灣醫學會 25.09.2022
Subjects
adenosine triphosphate bioluminescence (ATP) assay
ATP檢測
cleaning of nursing cart
execution rate
hand hygiene
hematology
infection control
TSCI
執行率
工作車清潔
感染控制
手部衛生
血液腫瘤
血液腫瘤
hematology
cleaning of nursing cart
執行率
hand hygiene
execution rate
infection control
感染控制
手部衛生
adenosine triphosphate bioluminescence (ATP) assay
ATP檢測
工作車清潔
Online AccessGet full text
ISSN1028-1916
DOI10.6320/FJM.202209_26(5).0003

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Abstract 血腫病人因免疫低下，以致感染發生率高，嚴重感染會提高敗血症發生。經調查分析發現，護理師未落實手部衛生及洗手時機、缺乏護理師清潔規範、客觀清潔成效查核工具及即時回饋機制，且清潔人員整理工作車程序不確實，並缺乏提醒機制，以上導因成為菌株傳播媒介，故引發改善動機，期望提升手部衛生及工作車清潔成效，以有效控制院內感染。經制定作業程序、製作精簡教學影片、運用螢光標示法及ATP查核並即時回饋、加強教育訓練等改善措施推動，專案改善後護理師手部衛生正確率由53.8%提升至87.5%，上班備藥前工作車清潔執行率由70%提升至90.4%。我們以ATP檢測達到專案目標，藉有效緩解及維持單位感染密度，已正向成效回饋於感控護理師，且進行院內平行推展。
AbstractList 血腫病人因免疫低下，以致感染發生率高，嚴重感染會提高敗血症發生。經調查分析發現，護理師未落實手部衛生及洗手時機、缺乏護理師清潔規範、客觀清潔成效查核工具及即時回饋機制，且清潔人員整理工作車程序不確實，並缺乏提醒機制，以上導因成為菌株傳播媒介，故引發改善動機，期望提升手部衛生及工作車清潔成效，以有效控制院內感染。經制定作業程序、製作精簡教學影片、運用螢光標示法及ATP查核並即時回饋、加強教育訓練等改善措施推動，專案改善後護理師手部衛生正確率由53.8%提升至87.5%，上班備藥前工作車清潔執行率由70%提升至90.4%。我們以ATP檢測達到專案目標，藉有效緩解及維持單位感染密度，已正向成效回饋於感控護理師，且進行院內平行推展。
血腫病人因免疫低下，以致感染發生率高，嚴重感染會提高敗血症發生。經調查分析發現，護理師未落實手部衛生及洗手時機、缺乏護理師清潔規範、客觀清潔成效查核工具及即時回饋機制，且清潔人員整理工作車程序不確實，並缺乏提醒機制，以上導因成為菌株傳播媒介，故引發改善動機，期望提升手部衛生及工作車清潔成效，以有效控制院內感染。經制定作業程序、製作精簡教學影片、運用螢光標示法及ATP查核並即時回饋、加強教育訓練等改善措施推動，專案改善後護理師手部衛生正確率由53.8%提升至87.5%，上班備藥前工作車清潔執行率由70%提升至90.4%。我們以ATP檢測達到專案目標，藉有效緩解及維持單位感染密度，已正向成效回饋於感控護理師，且進行院內平行推展
Author 韓志杰(Chih-Chieh Han)
周幸儀(Hsing-Yi Chou)
劉瀅潔(Ying-Chieh Liu)
謝秀祝(Shiouh-Chu Shieh)
詹詠筑(Yung-Chu Chan)
侯信安(Hsin-An Hou)
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  fullname: 劉瀅潔(Ying-Chieh Liu)
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Keywords 血液腫瘤
hematology
cleaning of nursing cart
執行率
hand hygiene
execution rate
infection control
感染控制
手部衛生
adenosine triphosphate bioluminescence (ATP) assay
ATP檢測
工作車清潔
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Snippet 血腫病人因免疫低下，以致感染發生率高，嚴重感染會提高敗血症發生。經調查分析發現，護理師未落實手部衛生及洗手時機、缺乏護理師清潔規範、客觀清潔成效查核工具及即時回饋...
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SubjectTerms adenosine triphosphate bioluminescence (ATP) assay
ATP檢測
cleaning of nursing cart
execution rate
hand hygiene
hematology
infection control
TSCI
執行率
工作車清潔
感染控制
手部衛生
血液腫瘤
Title 運用ATP檢測及擬定清潔流程改善血腫病房工作車清潔暨感染控制成效
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