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 <div v:shape="標題_x0020_1" class=T><span style='position:absolute;top:12.53%;
 left:-1.8%;width:103.61%;height:7.22%'><span lang=EN-US style='font-family:
 "Times New Roman";mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:
 "Times New Roman";font-size:77%;mso-fareast-language:ZH-TW'>3.2</span><span
 lang=ZH-TW style='font-family:標楷體;mso-ascii-font-family:"Times New Roman";
 mso-fareast-font-family:標楷體;mso-hansi-font-family:"Times New Roman";
 font-size:77%;mso-ansi-language:EN-US'>定期對院內感染的發生及其動向開會檢</span></span><span
 style='position:absolute;top:20.48%;left:5.95%;width:88.08%;height:6.5%'><span
 lang=ZH-TW style='font-family:標楷體;mso-ascii-font-family:"Times New Roman";
 mso-fareast-font-family:標楷體;mso-hansi-font-family:"Times New Roman";
 font-size:77%;mso-ansi-language:EN-US'>討分析，並訂定改善方案</span></span></div>
 <div v:shape="內容版面配置區_x0020_2">
 <div class=B><span style='position:absolute;top:29.63%;left:9.02%;width:95.84%;
 height:6.02%'><span style='font-family:"Times New Roman";font-size:88%;
 font-weight:normal'><span style='mso-special-format:bullet;color:#006600;
 position:absolute;left:-3.95%;top:-.15em;font-family:Wingdings;font-size:120%'>n</span></span><span
 lang=ZH-TW style='font-family:標楷體;mso-ascii-font-family:"Times New Roman";
 mso-fareast-font-family:標楷體;mso-hansi-font-family:"Times New Roman";
 font-size:88%;mso-ansi-language:EN-US'>有關評分說明</span><span lang=EN-US
 style='font-family:"Times New Roman";mso-ascii-font-family:"Times New Roman";
 mso-hansi-font-family:"Times New Roman";font-size:88%;mso-fareast-language:
 ZH-TW'>B-2</span><span lang=ZH-TW style='font-family:標楷體;mso-ascii-font-family:
 "Times New Roman";mso-fareast-font-family:標楷體;mso-hansi-font-family:"Times New Roman";
 font-size:88%;mso-ansi-language:EN-US'>所提「導入」，實地查核審查</span></span><span
 style='position:absolute;top:36.38%;left:9.02%;width:93.5%;height:5.3%'><span
 lang=ZH-TW style='font-family:標楷體;mso-ascii-font-family:"Times New Roman";
 mso-fareast-font-family:標楷體;mso-hansi-font-family:"Times New Roman";
 font-size:88%;mso-ansi-language:EN-US'>醫院是否導入組合式感管措施之方式，包括：&#13;</span></span></div>
 <div class=B1><span style='position:absolute;top:43.61%;left:13.35%;
 width:86.82%;height:5.06%'><span style='font-family:"Times New Roman";
 font-size:93%;font-weight:normal'><span class=B1B style='position:absolute;
 left:-3.53%'>–</span></span><span lang=ZH-TW style='font-family:標楷體;
 mso-ascii-font-family:"Times New Roman";mso-fareast-font-family:標楷體;
 mso-hansi-font-family:"Times New Roman";font-size:93%;mso-ansi-language:EN-US'>實地查核時確認院內執行單位有使用中央靜脈</span></span><span
 style='position:absolute;top:49.39%;left:13.35%;width:86.82%;height:5.06%'><span
 lang=ZH-TW style='font-family:標楷體;mso-ascii-font-family:"Times New Roman";
 mso-fareast-font-family:標楷體;mso-hansi-font-family:"Times New Roman";
 font-size:93%;mso-ansi-language:EN-US'>導管或存留導尿管或呼吸器侵入性醫療裝置之</span></span><span
 style='position:absolute;top:54.69%;left:13.35%;width:86.64%;height:5.54%'><span
 lang=ZH-TW style='font-family:標楷體;mso-ascii-font-family:"Times New Roman";
 mso-fareast-font-family:標楷體;mso-hansi-font-family:"Times New Roman";
 font-size:93%;mso-ansi-language:EN-US'>病人，訂有使用組合式感染管制措施（</span><span
 lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family:"Times New Roman";
 mso-hansi-font-family:"Times New Roman";font-size:93%;mso-fareast-language:
 ZH-TW'>bundle </span></span><span style='position:absolute;top:60.48%;
 left:13.35%;width:81.94%;height:5.54%'><span lang=EN-US style='font-family:
 "Times New Roman";mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:
 "Times New Roman";font-size:93%;mso-fareast-language:ZH-TW'>intervention</span><span
 lang=ZH-TW style='font-family:標楷體;mso-ascii-font-family:"Times New Roman";
 mso-fareast-font-family:標楷體;mso-hansi-font-family:"Times New Roman";
 font-size:93%;mso-ansi-language:EN-US'>）之標準作業流程且有</span><span lang=EN-US
 style='font-family:"Times New Roman";mso-ascii-font-family:"Times New Roman";
 mso-hansi-font-family:"Times New Roman";font-size:93%;mso-fareast-language:
 ZH-TW'>CHECK </span></span><span style='position:absolute;top:66.5%;
 left:13.35%;width:75.99%;height:5.54%'><span lang=EN-US style='font-family:
 "Times New Roman";mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:
 "Times New Roman";font-size:93%;mso-fareast-language:ZH-TW'>LIST</span><span
 lang=ZH-TW style='font-family:標楷體;mso-ascii-font-family:"Times New Roman";
 mso-fareast-font-family:標楷體;mso-hansi-font-family:"Times New Roman";
 font-size:93%;mso-ansi-language:EN-US'>資料存留；&#13;</span></span></div>
 <div class=B1><span style='position:absolute;top:73.73%;left:13.35%;
 width:86.82%;height:5.06%'><span style='font-family:"Times New Roman";
 font-size:93%;font-weight:normal'><span class=B1B style='position:absolute;
 left:-3.53%'>–</span></span><span lang=ZH-TW style='font-family:標楷體;
 mso-ascii-font-family:"Times New Roman";mso-fareast-font-family:標楷體;
 mso-hansi-font-family:"Times New Roman";font-size:93%;mso-ansi-language:EN-US'>訂有執行計畫，並有遵從性評估、執行成果分</span></span><span
 style='position:absolute;top:79.51%;left:13.35%;width:86.82%;height:5.06%'><span
 lang=ZH-TW style='font-family:標楷體;mso-ascii-font-family:"Times New Roman";
 mso-fareast-font-family:標楷體;mso-hansi-font-family:"Times New Roman";
 font-size:93%;mso-ansi-language:EN-US'>析等報告或於感委會等會議討論計畫執行情形</span></span><span
 style='position:absolute;top:85.3%;left:13.35%;width:75.99%;height:5.06%'><span
 lang=ZH-TW style='font-family:標楷體;mso-ascii-font-family:"Times New Roman";
 mso-fareast-font-family:標楷體;mso-hansi-font-family:"Times New Roman";
 font-size:93%;mso-ansi-language:EN-US'>之紀錄。</span></span></div>
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