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課程名稱 |
醫院評鑑與病人安全
Accreditation and Patient Safety |
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開課學期 |
108-2 |
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授課對象 |
公共衛生學院 健康政策與管理研究所 |
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授課教師 |
石崇良 |
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課號 |
HPM7091 |
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課程識別碼 |
848 M2460 |
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班次 |
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學分 |
2.0 |
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全/半年 |
半年 |
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必/選修 |
選修 |
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上課時間 |
星期六6,7,8,9(13:20~17:20) |
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上課地點 |
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備註 |
上課時間13:00-16:40雙週上課週六雙週上課。與鍾國彪、林宏榮合授
限碩士在職專班生 且 限本系所學生(含輔系、雙修生)
總人數上限：25人 |
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Ceiba 課程網頁 |
http://ceiba.ntu.edu.tw/1082HPM7091_ |
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課程簡介影片 |
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核心能力關聯 |
核心能力與課程規劃關聯圖 |
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課程大綱
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課程概述 |
藉由醫院評鑑來確保醫院的醫療品質與病人安全是一種國際趨勢，病人安全也成為已開發國家醫療政策的重要議題。本課程的設計目的在於介紹台灣和各國醫院評鑑的歷史、現況情形、以病人為焦點的方法學，醫院評鑑對醫療照護體系的影響、JCIA的醫院案例，以及未來發展趨勢等。再加上醫療錯誤與病人安全的定義、原因、理論、分類、常用方法與工具(RCA, FMEA)、個案討論、國內外發展趨勢等。
Hospital accreditation is a worldwide trend to assure hospital quality and patient safety. Patient safety is also an important issue in health policy for most developed countries. This course will cover major topics for hospital accreditation and patient safety including the history, current status and its impact of Taiwan and around the world as well as future perspective. Patient-focus method and Joint Commission International Accreditation (JCIA) will be covered. Definition, classification, reporting system, tools and measures in patient safety will be included, too. |
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課程目標 |
1.讓更多學生能了解醫院評鑑與病人安全的基本原理、測量、應用現況與發展趨勢。
2.推廣國內醫院評鑑與病安全在的實證研究、臨床應用與系統改善。
First, to introduce the basic definition, principles, measures, applications and trend in hospital accreditation and patient safety to those interested students for better understanding.
Second, to promote for students in empirical research, clinical application and system improvement in hospital accreditation and patient safety. |
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課程要求 |
學生應於每堂上課前，事先閱讀放在CEIBA平台之指定文章以及(或)相關內容；學生應參與部分的課前報告以及個案討論；期末由小組以特定主題進行報告之準備。
All students are required to read assigned material before class. Course material will be provided in CEIBA for reference. Students need to join pre-class report and case discussion by assignment. Final report is based on group project for special topic. |
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預期每週課後學習時數 |
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Office Hours |
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指定閱讀 |
參指定閱讀清單 |
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參考書目 |
1. Vincent , Charles; Rene Amelberti. Safer Healthcare: Strategies for the real World. Springer Open, 2016.
2. John Reynard, John Reynolds, Peter Stevenson. Practical patient safety, Oxford ; New York : Oxford University Press, 2009
3. Thomas R. Krause and John H. Hidley. Taking the lead in patient safety: how healthcare leaders influence behavior and create culture. John Wiley & Sons, 2009
4. Richard J. Croteau Root Cause Analysis in Health Care: Tool and Techniques. Joint Commission on Accreditation of Healthcare Organization 2010
5. Failure Mode and Effects Analysis in Health Care. Joint Commission on Accreditation of Healthcare Organization 2002
6. Steven Berman From Front Office to Front Line: Essential Issues for Health Care Leaders. Joint Commission on Accreditation of Healthcare Organization 2005 |
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評量方式
(僅供參考) |
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No. |
項目 |
百分比 |
說明 |
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1. |
個人作業 |
20% |
以個人方式進行(包含演講心得) |
2. |
隨堂個案討論與報告 |
40% |
以小組方式進行 |
3. |
期末考 |
40% |
包含口頭與書面報告 |
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週次 |
日期 |
單元主題 |
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第1週 |
3/14 |
台灣與各國的醫院評鑑歷史 (林)
History of hospital accreditation in Taiwan and the world |
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第2週 |
3/14 |
課程簡介、醫院評鑑、管制與認證簡介 (林)
Introduction to Hospital accreditation, regulation and certification |
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第3週 |
3/28 |
達成病人安全的作法 (鍾)
Approach to Safety: One size does not fit all |
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第4週 |
3/28 |
病人安全的進展與挑戰、理想與實務(鍾)
Progress and Challenges in Patient Safety(PS), The Ideal and the real |
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第5週 |
4/11 |
以病人為中心的方法學及其他追蹤物方法 (林) Patient-Focused Methodology and other tracer methods |
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第6週 |
4/11 |
教學醫院評鑑 (林)
Teaching hospital accreditation |
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第7週 |
4/25 |
病人安全的國際趨勢與國內現況 (石)
International Trends & National Policy on PS
病安理論與系統思維
Error Theories in PS & System Thinking |
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第8週 |
4/25 |
病人安全風險管理I---通報與根因分析、個案討論(石)
Identifying & Mitigating PS Risks I, Case study
病人安全風險管理II—失效模式與效應分析、個案討論
Identifying & Mitigating PS Risks II, Case study |
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第9週 |
5/09 |
醫院評鑑對健康照護體系的影響 (林)
The influence of hospital accreditation on the healthcare system |
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第10週 |
5/09 |
醫院評鑑對健康照護體系的影響 (林) |
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第11週 |
5/23 |
病人安全的測量、提昇病安之具體做法、個案討論(石)
Methods for Measuring PS |
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第12週 |
5/23 |
病人安全文化營造與團隊合作訓練 (石)
Advancing PS Culture through Team Work Training |
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第13週 |
6/06 |
國際醫院評鑑(JCIA)介紹1、個案討論(孫茂勝)
Introduction of the Joint Commission International & the International Accreditation(1) |
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第14週 |
6/06 |
國際醫院評鑑(JCIA)介紹2、個案討論(孫茂勝)
Introduction of the Joint Commission International & the International Accreditation(2) |
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第15週 |
6/20 |
PS7病人參與促進病安 (石)
(Engaging Patient & Family to Improve PS ) |
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第16週 |
6/20 |
PS8健康資訊科技與病人安全 (石)
(The Role of Health Information Technology in PS) |
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第17週 |
7/04 |
病人安全與醫院評鑑實務分享
李偉強主任 台北榮總醫務企管室 |
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第18週 |
7/04 |
期末報告 |
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