改善病人用藥安全e化醫護流程再造

護理人員，居於整個醫病關係的樞紐地位，
也是防杜醫療疏失的最後一道防線，如何降低藥
事與護理給藥作業上的錯誤，對提升病人安全有
最直接與重要的意義。本研究計畫建構在『以病
人為中心』， 落實『提升病人用藥安全』的理念
之下，整合醫學工程、醫療資訊、護理、藥事四
大相關領域的技術，進行符合現行採用單一劑量
投藥服務的『e 化醫護流程再造』：讓藥物從醫師
開立處方簽，經過藥局調劑藥物送至護理站，經
護士遞送到病人手中並確認其服用，乃至門診病
患返家服藥，能在這套資訊系統的監控或協助下
確實完成。
本『e 化醫護流程再造工程』分為三個主軸：
1.）e 化醫護資訊系統基礎建設，利用網路服務
之簡易物件存取協定技術，整合醫院現有的眾多
異質醫療資訊系統。2.）e 化單一劑量投藥服務
系統，包含資訊化藥櫃及內建智慧型藥盒之行動
資訊護理工作站，輔助藥事人員快速與正確的配
藥。3.）e 化藥物資訊與稽核系統，提供護理人
員透過條碼或無線射頻辨識技術，落實關鍵之三
讀五對給藥作業。

Nurses being on the pivotal positions act as a
final defense to prevent medical errors from
happening. In this project, we re-engineer the Unit
Dose Distribution Services that builds on the
concept of “patient center.” We integrate
multidiscipline the know-how from Biomedical
Engineering, Medical Informatics, Nursing, and
Pharmacy fields, to design and develop an
“e-Medication Process Re-engineering, eMPR.”
The goal is to provide an effective and accurate
medication process to reduce medication errors and
improve healthcare quality.
The entire study includes three parts: 1.)
e-Medical Information System Infrastructure. The
first part contains the study of heterogeneous
medical information system and constructs the
integration infrastructure; 2.) e-Unit Dose
Distribution Services. It includes the use of barcode
or RFID together with the wireless network to
implement the three-reads, five-writes process; and
3.) e-Medication Information and Monitoring
Processing. The final part of this grand project will
examine its potentials by exploring detail drug with
each other interactions, their side effects, etc.