根據衛生服務部統計，2010年至2017年醫學中心加護病房醫療相關感染

根據衛生服務部統計，2010年至2017年醫學中心加護病房醫療相關感染部位以血流感染最常見，其中中心靜脈導管(central venous catheter；CVC)血流感染率高達44%。CVC留置雖提供臨床醫療的便捷性，但侵入性導管的使用增加病人感染風險，一旦引發菌血症提高病人死亡率(盛、陳，2017)。為提升該單位改善值達80%，重症單位執行中心靜脈導管組合式照護之完整率由56.9%至91.4%以上。安排CVC bundle照護教育訓練、設計宣導用品推廣CVC bundle照護、宣導CVC bundle內容並制定稽核機制、設計評估CVC留置查核表、規劃CVC照護相關用物。藉由CVC bundle教育訓練、設計文宣推廣，有效提升重症單位CVC bundle認知達90.6%，運用查核表作為醫護雙向溝通提醒機制，病人CVC留置率由2019年1至3月平均18.1%降至2019年10月14.1%，配合行動CVC改善換藥便利，使重症單位落實CVC bundle，中心靜脈導管組合式完整率達93.7%。

結果 (英文) 1:

According to statistics of the Ministry of Health Services, 2010-2017 Medical Center intensive care unit medical-related bloodstream infections at the site of infection most common, central venous catheters (central venous catheter; CVC) bloodstream infection rates as high as 44%. CVC indwelling convenience while providing clinical care, but the use of invasive catheter increases the risk of patient infection, once initiated bacteremia improve patient mortality (Sheng Chen, 2017).
To enhance the value of the unit improved 80%, severe execution units of central venous catheter combined rate of complete care of more than 56.9 to 91.4 percent.
Arrange CVC bundle care education and training, advocacy supplies designed to promote CVC bundle care, advocacy CVC bundle content and develop audit mechanisms designed to evaluate CVC indwelling Checklist, planning CVC care related use thereof.
By CVC bundle education and training, propaganda designed to promote, effectively raising the awareness intensive unit CVC bundle up 90.6%, the use of health care Checklist as two-way communication mechanism to remind the patient indwelling CVC rate of January-March 2019 fell to an average of 18.1% in 2019 14.1% in October, with action to improve the CVC dressing conveniences that make intensive units to implement CVC bundle, complete central venous catheter combined rate of 93.7%.

結果 (英文) 2:

According to the Department of Health Services, blood-related infections in the intensive care ward of the medical center were the most common from 2010 to 2017, with a blood flow infection rate of 44% in central venous catheters (CVC). CVC retention provides clinical convenience, but the use of invasive catheters increases the risk of infection in patients, once the risk of bacteremia increases patient mortality (Sheng, Chen, 2017).
In order to improve the improvement value of this unit by 80%, the complete rate of intravenous catheter combination care in the execution center of the critical unit was increased from 56.9% to 91.4%.
Arrange CVC bundle care education training, design and advocacy supplies to promote CVC bundle care, advocate CVC bundle content and develop audit mechanism, design and evaluate CVC retention checklist, plan CVC care related materials.
Through CVC bundle education training, design promotion, effectively enhance the critical unit CVC bundle cognition up to 90.6%, the use of checking table as a two-way communication reminder mechanism for health care, patient CVC retention rate from January to March 2019 average 18.1% to October 2019 14.1%, With the action CVC to improve the drug exchange convenience, so that the serious unit to implement CVC bundle, the central venous catheter combination integrity rate of 93.7%.

結果 (英文) 3:

According to the statistics of the Ministry of health services, from 2010 to 2017, the most common infection site was blood flow infection in the intensive care unit of the medical center, in which the blood flow infection rate of the central venous catheter (CVC) was as high as 44%. Although CVC indwelling provides convenience for clinical treatment, the use of invasive catheters increases the risk of infection. Once bacteremia is caused, the mortality of patients will be increased (Sheng, Chen, 2017).
In order to improve the improvement value of the unit by 80%, the complete rate of combined care of central venous catheter in severe unit was from 56.9% to 91.4%.
Arrange CVC bundle care education and training, design promotional supplies to promote CVC bundle care, promote CVC bundle content and develop audit mechanism, design and evaluate CVC retention checklist, and plan CVC care related materials.
Through CVC bundle education, training, design, publicity and promotion, the cognition of CVC bundle in critical units was effectively improved by 90.6%. Using checklists as a two-way communication and reminder mechanism of medical care, the retention rate of CVC in patients decreased from 18.1% in January to March 2019 to 14.1% in October 2019. With the help of action, CVC improved the convenience of drug exchange, the CVC bundle was implemented in critical units, and the integrated rate of central venous catheter was 93.7%.