建構醫療機構病人安全監測指標之前驅實證研究

Objectives: A campaign to improve patient safety is being conducted globally. Taiwan does not have an objective patient safety monitoring indicator system. This research was designed to develop a patient safety monitoring system appropriate for implementation in Taiwan. Methods: The development processes included literature review and expert focus group meetings incorporating the Delphi method, and pilot testing to evaluate the validity and reliability of the potential indicators. Results: The 47 indicators selected were classified according to the 2006-2007 patient safety goals of the Department of Health (Taiwan). The indicators, which consisted of 7 categories separated into 2 levels, included medication safety (5 items), infection control (9), surgical site accuracy (1), patient identification (2), fall prevention (1), incident reporting (3) and healthcare monitoring (5). Of the 47, 10 indicators are at the optional level and 37 are at the basic level. Conclusions: We developed a patient safety indicator monitoring system through a consensus-building process for use in healthcare institutions in Taiwan. We believe that the system needs constant evaluation during clinical application. We hope that this system can be used in healthcare institutions in Taiwan as a tool to promote patient safety.