某醫學中心洗縫部門作業流程改善實證研究

Empirical Study of Laundry Department Operation-A Case Study at a Medical Center

蘇喜(Syi Su) ； 黃俊智(Chun-Chih Huang) ； 莊逸洲(Yi-Chou Chuang) ； 謝長堯(Chang-Yao Hsieh) ； 戴東原(Tung-Yuan Tai)

《中華公共衛生雜誌》 18卷1期 (1999/02) Pp. 77-83

https://doi.org/10.6288/CJPH1999-18-01-09

摘要

本研究乃為改善某教學醫院之洗衣房作業，做時序性的觀察研究，除記錄作業流程的各種現象外，並蒐集醫院洗衣房現行業務量、人力配置及成本等資料，評估並比較改善前後的成本效益。第一次評估自民國八十二年四月至八十二年十月，實地參觀與蒐集其作業資料，經分析問題後提出改善方案，建議該部門採行之。其後在民國八十四年七月至八月，針對第一次觀察所提之建議事項做再次的觀察。研究結果顯示，對象醫院經改善方案後，人員編制由46人精簡為36人，每公斤衣物洗滌成本由第一次觀察時的30.5元降低為第二次觀察時的27.0元，生產力由每人時15.3公斤提升為21.7公斤。在工作環境方面，增設定點正壓空調系統，改善了悶熱的工作環境，並改善衣物發送體系以掌握布品耗用情形。建議今後的目標為加強機器設備利用率、研擬一套獎勵制度提升工作效率、累積「病房需求布品報表」以評估各單位病房的布品適當存量、使污衣物能直接在病房分類、洗淨衣物能有特定的放置空閒及洗縫部門設有常態性品質改善研究小組等。

關鍵字

醫院洗衣房 ； 作業流程再造

並列摘要

To evaluate the operation performance of the laundry department of a subject hospital, the staffing levels, job descriptions, operation flow, capacity and costs were examined before and after an operation intervention. The first evaluation was conducted from April 1993 to June 1993, and suggestions for operation improvement and system modification were proposed to the department. The second observation was carried out from June 1995 to August 1995, to evaluate the impact of the intervention. Observed accomplishments are summarized as follows: (1)The number of employees in the laundry department decreased from 46 before the intervention to 36 after the intervention. (2)The average laundry costs for linen were NT$ 30.5/kg and NT$ 27.0/kg at the first and second observations. (3)The productivity improved from 15.3 kg/man-hour, prior to the intervention to 21.7 kg/man-hour after the intervention. (4)An air conditioning system was installed to provide an improved environment for employees. We recommend that the laundry department continue to improve the utilization of the equipment, plan an employee incentive system, and estimate the most adequate level of linen stock at each nursing station.

並列關鍵字

hospital laundry department ； Business process redesign ； Business re-engineering