供應中心PMR2甦醒球損壞率之改善方案－－以某區域教學醫院為例

Reduction of the repair of the puritan manual resuscitator 2 in a Central Supply Room – A Regional Teaching Hospital

人工甦醒球在急救過程中是不可或缺的，其功能正常與否攸關急救病患生命。2007年7月起供應中心陸續接獲使用單位反應甦醒球擠壓時功能不佳的問題。回溯2007年9月至2008年2月之維修紀錄發現，PMR2甦醒球每月損壞率為7.4%，半年的維修費用達81,200元，因此組成專案小組，依據三現原則進行觀察與訪談，發現主要問題為：1.缺乏PMR2甦醒球管理機制；2.更換流程不符現況需求；3.缺少甦醒球處理作業標準；4.工作人員使用了不合宜的除污和滅菌方式。改善方法包括跨部門會議討論、更換流程與處理操作標準重製、教育訓練和稽核政策，使每月損壞率由7.4%降至1.38%，半年內節省了65,600元維修費用，不僅提升人員成本概念，也達到維護病患生命安全的目的。

Timely intervention to maintain the patient’s airway can improve outcome in terms of survival. The lack of appropriate puritan manual resuscitator 2 (PMR2) will affect patient outcome. The Central Supply Room (CSR) has received the information about the number of times the PMR2 was repaired and serviced in July 2007. The repair records were reviewed from September, 2007 to February, 2008. The repair rate of the PMR2 was 7.4% monthly, and the repair cost was NT 81,200 during six months. Four problems were found. First, Lack of PMR2- related management. Second, the process of exchange must be renewed to fit the needs. Third, Lack of gold standard for operation. Fourth, Lack of incentives to share. Afterward, this problembased project was designed and was done. The result were that, the repair rate of the PMR2 (1.38% monthly) and the repair cost (NT 15,600) were decreased little by little. This project can improve the quality of service and confirm patient safety.