條碼資訊系統科技提升某病房醫療設備點班效率之專案

Project Using Information Systems with Barcode Technology to Improve Efficacy in Managing Medical Equipment Supplies at a Hospital Ward

林幼麗(Yu-Li Lin) ； 郭惠敏(Sophie Huey-Ming Guo) ； 李銘櫻(Ming-Ying Lee) ； 蘇綉雅(Hsiu-Ya Su) ； 朱宗藍(Tsung-Lane Chu) ； 余文彬(Wen-Pin Yu)

《健康科技期刊》 5卷2期 (2019/03) Pp. 22-35

https://doi.org/10.6979/TJHS.201903_5(2).0003

摘要

醫療設備點班屬非直接護理病人之事務，而護理人員卻不得不注入許多時間導致抱怨工作及延遲下班。本專案現況分析發現醫療設備點班耗時、效率差、點班作業滿意度不高，歸納原因包括點班項目及數量多、紙本點班作業政策沿習舊制、設備使用與借物流程不完善，故針對醫療設備點班進行專案改善點班效率與滿意度。藉由團隊共同重新修訂醫療設備管理作業原則、建置與推定醫療設備點班作業資訊系統及條碼掃描讀取儀器資料、安排教育訓練及實際演練等以提昇效率與改善流程。經專案實施，醫療設備點班時間由每班平均35.2分鐘，降低至平均7.8分鐘；點班品項由52項降低至為9項；點班作業的滿意度由80.4%提升至95.6%。本專案建立簡化版點班作業原則與條碼掃描系統，減少護理工作中非專業核心的一般事務所佔之時間比例，增進醫療設備管理效率，而有助營造好的工作環境。

關鍵字

醫療設備管理 ； 條碼科技 ； 資訊系統

並列摘要

Inventorying medical equipment is not directly related to nursing affairs; yet nursing staff cannot but spend a great deal of time on it, with complaining and delays in getting off work. Our working group conducted a situation analysis of time spent with, inefficiencies in, and nurses' dissatisfaction toward medical equipment inventorying. Causes included large numbers of items to be inventoried; paper-based inventory policies that adhere to outdated systems; and defects in equipment usage and check-out procedures. We thus formulated programmatic improvements in inventory efficiency and satisfaction with regard to medical equipment inventory management. The strategies involved the working group collectively reformulating the principles for medical equipment inventory management, establishing and implementing an information system for the medical equipment inventory process, developing bar code scanner information, offering training courses and hands-on practice for nurses, and other efforts to raise efficiency and make process improvements. Time spent on inventorying medical equipment went from 35.2 to 7.8 minutes each shift; the number of checking items reduced from 52 to 9. Satisfaction with the inventory process has increased from 80.4% to 95.6%. This project established streamlined inventory process principles and a barcode scanning system, which reduced time occupied by general, non-core tasks as a portion of nurses' work. This brings improvements in medical equipment managing efficiency, and helps to build a better working environment.

並列關鍵字

Medical equipment ； barcode technology ； information systems

參考文獻

陳惠君、黃小芬、劉曾珊、葉依雅、劉永釧、蔡麗紅 (2012)。條碼科技於改善護理檢體採集標示錯誤之成效。澄清醫護管理雜誌，8 (1)，56-64。[Chen, H. C., Huang, S. F., Liu, T. S., Ye, Y. Y., Shen, Y. C., & Tsai, L. H. (2012). Implementation of bar code technology to minimize labeling errors of specimens collected by nurses. Cheng Ching Medical Journal, 8 (1), 56-64.] doi: 10.30156/CCMJ.201201.0007

高靖秋 (2011)。台灣護理人力面面觀。澄清醫護管理雜誌，7 (3)，41-46。[Kao, C. C. (2011). Multi-aspects of nursing manpower in Taiwan. Cheng Ching Medical Journal, 7 (3), 41-46.] doi: 10.30156/CCMJ.201107.0005

姚銘忠、楊啟瑞、趙德馨、林正偉、徐晴星 (2009)。泌尿外科住院病患手術流程再造與 RFID 資訊系統之應用 : 以某醫學中心為例。健康管理學 刊，7 (1)，1-20。[ Yao, M. J., Yang, C.R., Chao, D. H., Lin, W. C., & Hsu, C.H. (2009). Reengineering the operation processes for the hospitalized patients in division of urology with the application of a RFID information system: a case study in a medical center. Journal of Health Management, 7( 1), 1-20.] doi: 10.29805/JHM.200906.0001

林美蓮、柯幸芳 (2012) 。運用倉儲管理手法提升外科病房醫療衛材管理正確性。志為護理 - 慈濟護理雜誌，11 (3)，77-86。 [Lin, M. L., & Ko, H. F. (2012). Using warehousing management technique to improve surgical ward material management accuracy. Tzu Chi Nursing Journal, 11 (3), 77-86.] doi: 10.6974/TCNJ.201206.0077

曾麗姏、葉秀真、蕭珮、章淑娟 (2007)。某綜合科病房護理人員醫衛財管理之改善方案。志為護理 - 慈濟護理雜誌，6 (1)，102-112。[Tseng, L. M., Yeh, H. C., & Hsiao, P. W. (2007). A project to improve the management by nursing staff of unit equipment and supplies on a ward with patients. Tzu Chi Nursing Journal, 6 (1), 102-112.] doi: 10.6974/TCNJ.200702.0102