運用無線射頻辨識技術建置血袋資源管理系統

Building a Blood Resources Management System by Using RFID Technologies

國內的醫療相關疏失中，輸血錯誤高居第八名。此外，國外的研究報告顯示，血液或其他血品成分注入病患後，不良的輸血反應發生率高達百分之二十，其中可能會發生於輸血過程、輸血後數小時或是數月不等（陳雯，2004），由於將他人捐贈的血輸入病人體內是一項具高度危險性的醫療行為，輸血安全一直受到高度的重視，並有嚴格的作業規範，但是輸血錯誤的案例還是時有所聞。因此，針對輸血的前置工作、輸血過程及後續輸血反應的監視與回報，皆為輸血安全的重要環節。（林炯熙、雍建輝、雍海鵬等，2002）本研究利用RFID技術及資訊流程的改善，強化血基會與醫院間之血袋流通管理及追蹤使用情況，將醫療活動中相關的醫療照護人員、病患、血袋等物件的名稱、時間、地點等資訊有效整合，進而透過資訊系統達到更有效率的流程控管，提升整體醫院資源運用的效益，促進病患安全及醫療品質。

Blood transfusion errors have been a major concern for hospitals and clinics in Taiwan even though there are strict standard operational procedures to comply with. The possibility of offering the wrong blood in the blood transfusion and handling process to a patient can even trigger adverse reactions up to death. A foreign study has also shown that nearly 20 percent of adverse reactions occurred after blood transfusion in few days, hours or months. Also, JCAHO (Joint Commission on Accreditation of Healthcare Organizations) had referred to the blood transfusion errors which were one of the mostly common reasons of medical errors that could be prevented. Although there are many systems used to improve patient safety, human errors still cannot be prevented in all processes. The blood-handling process contains a number of manual steps related to labeling, blood bank preparation and cross-match, which are mostly handled through manual checking, and paper forms were placed in different locations, so a mechanism to effectively trace and monitor the entire procedure including medical personnel operation for blood handling can be applied to improve patient safety. In this study, we present a blood resource management system by applying RFID (Radio Frequency Identification) technologies to identify, trace and monitor among different processes of blood handling, and also integrate related medical resources including medical materials and personnel in order to reform the traditional checking process, enhance the patient safety, and increase overall managerial benefits of the hospital.