降低某呼吸照護中心家屬執行會客規則不完整率

感染控制受醫療院所重視，尤其是高感染風險的特殊單位，因此設有保護家屬及病患、避免交互感染的會客規則，但臨床發現多數家屬未按規則會客，故本專案旨在降低家屬執行會客規則不完整率。單位於2006年11月15日至12月15日以查檢表觀察家屬會客情形，結果發現執行狀況不完整占81.74%，其中未戴口罩、未按時離開、未按規則洗手、每次進入超過2人及未穿隔離衣各占45.38%、37.01%、31.18%、24.98%及12.24%，經訪談得知原因為不瞭解會客規則、口罩取得不易及會客結束未按時廣播提醒。經透過多媒體應用錄製會客廣播提醒語並改良廣播系統、增設口罩販賣機之方案，有效降低上述比率。本專案措施亦達簡化工作之目的，值得同性質單位加以推廣。
Infection control has always been an important issue in many health care centers, especially in units at high risk of infection. Therefore, rules for visitors are often established to prevent cross-infection between family members and patients. Often, however, family members in Taiwan do not follow these rules. This report is an evaluation of a project designed to improve compliance to family visiting rules between November 11, 2006 and December 15, 2006. Check lists were used to assess the family member behaviors during their visits to a respiratory care center. At total of 2245 person-time observations were made. Before changes were implemented, the disobedience rate was 81.74%, with 45.38% not wearing masks, 37.01% not leaving on time, 31.18% not washing their hands, 24.98% of visits having more than two family members at the same time, and 12.24% not wearing isolating dresses. The changes that were implemented included using prerecorded multimedia-broadcasts, upgrading the broadcast system, and setting up more mask vending machines. Once implemented, the disobedience rate dropped to 13.47%. In addition to reducing disobedience, this project also simplified workloads. Thus, similar health care units may consider implementing such changes.