建置RFID手術室醫療管理系統提升病患安全之研究－以基隆長庚醫院為例

RFID-Based Operation Room and Medicare System for Patient Safety Enhancement-A Case Study of Keelung Branch, Chang Gung Memorial Hospital

游張松(Chang-Sung Yu) ； 陳志華(Chih-Hwa Chen) ； 廖珮君(Pei-Chung Liao) ； 李岳縉(Yueh-Ching Lee)

《資訊管理學報》 15卷1期 (2008/01) Pp. 97-122

https://doi.org/10.6382/JIM.200801.0097

摘要

醫院醫療管理一直都是社會大眾關心的焦點，而在醫院各部門中，尤以手術室人員面對的工作較為繁多且風險性高。醫療不良事件發生的場所有39.5%發生在手術室，可知手術室不良事件的發生率較醫院其他部門有偏高的情形。
因此本研究首先針對手術室容易出錯的環節，發展出一套RFID手術室醫療管理系統模式，自動進行手術的各項核對細節，可避免因醫療人員疏失所造成的傷害；其主要包括邏輯與實體分析設計兩項分析設計模式，使本系統具有「自動身份驗證、自動程序啟動、自動更正請求、自動追蹤記錄、自動資料封存、案例重建分析」等六大特點，可作為必要時之現場重建評估機制，以達成病人安全保障。
在個案研究中，除了記錄建置前後相關管理數據，作為成效比較之外；並且藉由RFID自動記錄臨床路徑以及醫療資訊封存，可確保醫療人員三讀五對確實地執行與控管手術醫療品質；一旦有異常狀況，可作為醫療現場事後重建機制，改善手術缺失流程；此外，未來將可藉由此系統，經由長期個案研究及知識累積，提供手術醫療知識庫的擴充及醫療技術的提升；因此透過RFID手術室醫療管理系統建置，可確實地保障病人安全與增進醫療品質成效。

關鍵字

RFID射頻辨識 ； 病患安全保障 ； 自動資訊封存

並列摘要

As hospital medical care management has been a general public concern, among all hospital departments, 39.5% of medical malpractice incidents take place at the surgical room, a telltale sign reaffirming the scenario that ratio of surgical room malpractice occurred tends to be higher than the others.
This thesis focuses on the surgical room operations, and proposes an RFID system to ensure the safety requirements are fully executed. Our RFID system has six major characteristics of ”Auto ID Checking”, ”Auto Activation”, ”Auto Correction Request”, ”Auto Track Recording”, ”Auto Data Safekeeping”, and ”Case Reconstruction Analysis”. Therefore, this system not only can automatically collect data, guide the personnel to execute the safety enforcement procedures, but also can use the kept data for surgical scenario reconstruction in order to assure patient safety.
In this case successful implementation, we compared the conducted effectiveness after the RFID implementation and that before. This implementation shows how the RFID-based enforcements, real-time monitor surgical process, automatically record the processing logs along the clinical paths, and store the logs for safekeeping.
This RFID system indicates that: when abnormal cases happen, the real-time logged data can be used for faults finding, used for surgical process improvements, and in the long run, therefore, further continuously enhance the patient safety quality.

並列關鍵字

RFID ； patient safety assurance ； auto data safekeeping

參考文獻

陳春枝(2003)。流程管理介入對手術室服務效能之影響(碩士論文)。台北醫學大學護理研究所。

無線射頻辨識技術網站

RFID Journal

Accneture Hepls Form RFID Industry Group to Evaluate Technology's Value in Pharmaceutical Industry

Brennan, T.A.,Leape, L. L.,Laird, N.M.,Hebert, A.R.,Localio, A. R.,Lawthers, A.G.(1991).Incidence of adverse events and negligence care in Hospitalized patients.New England Journal of Medicine.