[[alternative]]The Study of The Use of Mobile Nursing Station on Medication Safety

[[abstract]]隨著各種資訊科技的進步及普及化，透過行動護理站之給藥系統的建置，落實在床邊執行備給藥。本研究屬量性研究，採歷史性對照之研究設計，探討行動護理站之給藥系統推行前後2年，臨床護理人員給藥錯誤之意外事件通報件數是否降低，且介入後給藥錯誤的科別、班別、佔床率及護理人員數是否有顯著差異，並藉由結構式問卷了解內外科成人病房共八個單位的護理人員，以臨床實際使用行動護理站執行給藥之成效及滿意度。共收集100份問卷，以SPSS 20.0 統計套裝軟體作為統計分析工具，分析資料結果發現護理人員的年齡、工作單位及職級對行動護理站之給藥系統滿意度有顯著差異，而學歷及使用行動護理站年資則無相關；而給藥錯誤率與行動護理站有無介入無相關性，但是單位不同與給藥錯誤率有顯著相關，外科病房給藥錯誤率高於內科病房；臨床護理人員給藥錯誤原因以給錯藥物劑量居多，而給錯藥物班別大多發生於小夜班。最後，本研究發現護理人員對於行動護理站的給藥系統大都屬於正向態度，唯有對於電腦的硬體設備如螢幕切換速度慢，導致給藥操作時間過長趨於負向感受，期望研究結果提供醫療院所未來建置的參考。[[abstract]]With the advancement and the popularization of various information technologies, mobile nursing station has established, so that they can prepare and give the medication at the bedside. This study is a quantitative research, designed as a historical comparison. It argues whether the notification number of clinical nurses’ medication-error accident has been reduced or not during the 2 years before and other 2 years after the implementation of the medication delivery system at the mobile nursing station. Besides, this study also discusses several factors that may cause significant differences to the error-making such as reasons, unit, classes, occupancy rate and number of nurses. The targeted nurses working at the adult wards in the medical and surgical departments, altogether eight units, are asked to answer the designed structured questionnaire in order to understand the clinical use of mobile nursing station. We collected 100 questionnaires and use SPSS 20.0 for statistic analysis. We found that in regard to satisfaction, there are significant differences in ages, department and seniority. There are no significant differences in educational background and duration of using the mobile station. The rates of medication error are higher at Surgery station than at Internal Medicine station. The most common cause of medication error is wrong dosage. The most common timing of medication error happens at evening shift. We found that most nursing staff are positive toward medication administration by using a mobile nursing station except the deficiency of hardware efficiency which may slow down the speed of medication administration. We hope that the results of this study can provide some references to setting up the facilities of nursing units in the hospitals