— 照護管理 · MEDIUM · MCQ —
護理長正在執行防跌計畫的品質改善計畫。管理者應監測哪項指標？
A nurse manager is implementing a quality improvement plan for patient falls. Which indicator should the manager monitor?
- ANumber of staff meetings held about safety召開安全相關員工會議的次數
- BCost of hospital supplies used for patient safety用於病人安全的醫院物資成本
- CNumber of fall-related injuries and occurrences✓ 正解與跌倒相關的傷害和發生次數
- DStaff nurse satisfaction scores護理師滿意度評分
— Explanation · 中文詳解 —
品質改善計畫（Quality Improvement, QI）的目標應直接連結結果（Outcome）。針對防跌計畫，監測跌倒次數及因跌倒造成的傷害程度，是最具代表性的臨床結果指標。其他選項如護理師滿意度、會議次數等為過程指標或間接指標，無法直接衡量病人安全改善的成效。
To evaluate the effectiveness of a quality improvement plan for patient falls, the nurse manager should monitor outcome measures such as the number of fall-related injuries and occurrences. Activity-based metrics like staff meeting counts or financial costs do not directly reflect clinical safety outcomes or the success of the intervention.
✦ 台美臨床差異
美國極重視由數據導向的醫療品質監測（如 NDNQI）；台灣亦開始重視品質指標，但常因健保申報或人力問題，數據處理的深度與應用仍有成長空間。