Page 20 - 103年消防月刊 7月號 (全)
P. 20

Fire Safety Monthly








                從關鍵績效指標試論


              提升                                                     患者急救成功率
                                OHCA




               Upgrade the ROSC rate of OHCA patient by adopting Key

               Performance Indicator approach

                                                                                圖 / 文 臺南市政府消防局 陳漢新



                  到院前心跳功能停止（Out of Hospital Cardiac Arrest, OHCA）
               患者常發生在我們周遭，帶走無數寶貴生命、也摧毀許多幸福的家庭。人

               體一旦遭受意外災害或相關疾病，導致呼吸及心跳停止，在短短 4~6 分鐘
               （黃金時間）內即可對大腦組織造成一定程度損傷，10 分鐘以上將產生不
               可逆壞死。在如此分秒必爭的時間賽跑裡，我們嘗試以關鍵績效指標（Key

               Performance Indicator, KPI）來審視報案求救、線上指導、急救處置
               及聯繫後送等階段流程，期望藉由關鍵指標績效的改善，達到急救成功率
               的提升，也希望對後續研究能貢獻一二。



                  Out of hospital cardiac arrest(OHCA) patient are always
               happened  around  us,  ruined  our  lives  and  families,  too.
               Suffering accident or illness may caused brain tissue injures
               with  circulation  ceased  in  4~6  minutes.  Even  permanent
               damages if it ceased over 10 minutes.Our research applied
               Key Performance Indicator(KPI) approach to review several
               stages of EMS and tried to make key indicators being better
               and  better.  Finally,  We  upgraded  patients’  recovery  of
               spontaneous circulation(ROSC) rate successfully. Conclusions
               of our experience, it might little bit help for relative researches.







                                5JNF UP                    5JNF UP "$-4 NJO
                               $13  NJO


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                          ◆ ◆表 1：反應時間與存活率 (%) 比較表

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