醫院為提供全天候的醫療照護過程,需要有良好的後勤供應支持,當後勤供應出現異常時,將造成醫療作業之不便甚至中斷,其中又以電力供應、水供應、醫療氣體供應及空調供應中斷對醫療作業產生立即而重大的影響,甚至危害到病人生命安全 本研究以失效模式與效應分析(Failure Mode and Effect Analysis;FMEA),針對後勤供應系統中之設備、元件於發生故障、天災人禍時可能造成之供應問題,分析並探討各後勤供應系統可能發生的失效與原因,分析結果發現在後勤供應系統中存在92個潛在失效問題;經由FMEA關鍵分析結果,選取RPN值超過80之失效原因作為優先改善項目,並歸類出人為的因素、保養維護的因素及系統結構因素。 個案醫院依研究結果的改善建議措施,採分階段、可立即改善項目與計畫性改善項目,來實施改善對策,達到降低後勤供應失效的風險,藉由運用FMEA的過程中,期望能提升後勤供應單位人員對於系統失效風險的分析能力、改善能力,並能防患於未然,讓整體的後勤供應品質更為穩定,以作為醫療作業人員之後盾。
In order to provide around-the-clock health care services, hospitals need to have a well-managed and quickly-responded logistics and supply support system. The failure of the system will cause inconvenience or even disrupt medical practices; among which, the disruption of electric power supply, water supply, medical gas supply, and air conditioning supply will have severe and immediate impacts on medical procedures, sometimes to the extent of threatening the life of the patients. This research applies Failure Mode and Effect Analysis (FMEA) to analyze and investigate potential supply issues resulted from the natural and man-made failures of the facilities, components in the logistics and supply support system and their causes. The study identified 92 potential failures in the logistics and supply support system. The results of the criticality analysis of FMEA suggested selecting the failure causes with RPN values exceeding 80 to be the priority improvement targets and summarized the key factors such as human errors, maintenance factors, and system misstructures. The results suggested that the case-study hospital start with phase-in and planned improvement projects available for immediate improvement to implement the enhancement strategies to help lower the risks of the logistics and supply failures. The application of FMEA is expected to strengthen the analytical and advancement ability of the logistics and supply support personnel and to take precaution to stabilize the quality of the logistics and supply support system to be the strong backing for the medical team.