運用PDCA提高輸血記錄單回報率

Improvement of the Return Rate of Blood Transfusion Records

查覺2008年至2010年之輸血記錄單回報率偏低，因此本方案以特性要因圖（魚骨圖）確認要因，再導入計畫─執行─查核─處置（PDCA）使輸血記錄單回報率改善。輸血記錄單回報率由改善前之2008年的89.09％，改善中之2010年的95.96％，提升至改善後之2013年的99.55％。馬偕紀念醫院目前以精實思維和方法，運用雲端醫療與智慧決策系統，建置即時且唯一檢驗條碼辨識系統，其具有電子輸血回報之功能，未來取代傳統紙本輸血回報方式，將建置更優質的輸血醫療照護品質列為血庫醫檢師持續努力精進的目標。

Objectives: By reviewing the return rate of blood transfusion records from 2008 to 2010, we found the rate is lower. Thence Our proposal is the application of cause and effect diagram (fishbone diagram) in order to confirm the main reason, then importing Plan-Do-Check-Action (PDCA) to promote the return rate of blood transfusion records improvement. The return rate of blood transfusion records stood at 89.09% in 2008. It was continued to be improved from 95.96% in 2010 to 99.55% in 2013. Currently Mackay Memorial Hospital adopts Lean Thinking and Methods by the use of cloud derived medical and intelligence decision system to build the real-time and unique barcode identification system. This system includes the monitoring function of the return rate of blood transfusion records, which will replace the traditional way of paper documentation in the future. To establish a better quality of transfusion medical care is always a goal of continuous improvement pursued by blood bank technicians.